Which nursing diagnosis would relate to the primary nursing concern related to a recently written prescription for amitriptyline (Elavil) 50 mg tid?
a. Anxiety
b. Ineffective coping
c. Risk for self-injury
d. Chronic low self-esteem
ANS: C
Patients with depression are at increased risk for suicide when they have been on antidepres-sant medication for 2 weeks, because they are regaining some energy but may not have achieved full therapeutic effect with mood improvement. Poor coping is important but it is not the priority. Evidence of noncompliance is lacking. The medication is not prescribed for anxiety disorders.
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A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip
As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for which priority action at this time? a. Assessment of the patient's pain level b. Immediate intubation and artificial ventilation c. Administration of naloxone (Narcan) d. Close observation of signs of opioid tolerance
A nurse is conducting an interview for a health history. In addition to asking the client about medications being taken, what else should be asked to assess the risk for drug interactions?
A) The effects of prescribed medications B) Type and amount of foods eaten C) Daily amount of intake and output D) Use of herbal supplements
A nurse is assigned to the operating room. What precautions should the nurse take when
using a mask? A) Tie the top ties behind the neck in a bow B) Do not let the mask hang around the neck C) Remove the mask with gloves on D) Avoid handling the mask by the strings
Which one of the following is a NANDA International nursing diagnosis label?
1. Frequent urination 2. Coughing and dyspnea 3. Risk for impaired parenting 4. Abnormal hygienic care practices