The nurse explains to a client with severe depression and who takes tricyclic antidepressants that the effectiveness of this type of medication may be a result of
a. increased stage 4 sleep.
b. prevention of night awakenings.
c. prevention of sleep terrors.
d. suppression of REM sleep.
D
Depressed people deprived of REM sleep often show improved mood. The action of tricyclic antidepressants in suppressing REM sleep has been proposed as the primary mechanism under-lying their effectiveness in treating depression.
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A patient has acute tubular necrosis. The following blood work was noted: complete blood count shows a white blood cell count of 11,000 mm3, a hemoglobin of 8 g/dL, and a hematocrit of 30%. His chemistry panel shows serum potassium, 4
5 mg/dL; serum sodium, 135 mg/dL; serum calcium, 8.5 mg/dL; BUN, 20 mg/dL; and creatinine, 1.5 mg/dL. What laboratory value(s) need(s) to be treated most immediately and why? a. Administration of 5% dextrose in water and insulin because the patient is hyperkalemic and needs this level reduced b. Administration of Epogen to treat anemia c. Administration of a broad-spectrum antibiotic to treat the elevated blood cell count d. Administration of a calcium supplement for low calcium
The population that is increasingly using critical care units and needing specialized nursing care is the population of
a. elderly. b. middle-age adults. c. underserved pregnant women. d. uninsured.
A toddler client with a fever is prescribed amoxicillin clavulanate 250 mg/5 cc three times daily by mouth × 10 days for otitis media. Which teaching point will guard against antibiotic resistance to the disease process?
1. Administer a loading dose for the first dose. 2. Measure the prescribed dose in a household teaspoon. 3. Give the antibiotic for the full 10 days. 4. Stop the antibiotic if the child is afebrile.
A nurse who works for an oncology unit is preparing to bathe a patient who recently underwent surgery to remove an abdominal tumor. Before beginning the bath, the nurse explains the procedure
Which of the following best describes the nurse's communication role? a. Channel b. Receiver c. Message d. Sender