The primary care NP sees a 16-year-old patient who reports feeling hopeless and sad. The child's parent reports increased aggression and a decline in school performance. The NP should consider prescribing:
a. fluoxetine (Prozac).
b. nortriptyline (Pamelor).
c. tranylcypromine (Parnate).
d. venlafaxine hydrochloride (Effexor).
A
Fluoxetine may be used in children 8 years of age and older. Nortriptyline may be used in children 12 years of age and older but is not a first-line drug. The other drugs are not indicated in adolescents younger than 18 years.
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The nurse is caring for a patient who has just signed an informed consent to be included in a research study for an experimental medication
The patient tells the nurse that she really doesn't want to be part of this study, but her doctor was so excited about the possibilities and talked so ideologically about how her participation could help all of mankind that she felt she couldn't decline to participate. What is the nurse's priority action? 1. Reassure the patient that she did the right thing. 2. Inform the physician the patient signed the consent under duress. 3. Document the patient's statement in the medical record. 4. Maintain the patient's confidentiality by not telling anyone what she said.
A client has been administered dobutamine. The client is also receiving a beta-adrenergic blocking drug. The nurse would monitor the client for the development of which of the following resulting from the use of these two drugs?
A) Bradycardia B) Hypertension C) Depression D) Dehydration
The purpose of a call by the ambulatory care unit nurse to the client after discharge is to:
1. Minimize client complications and ensure client safety. 2. Determine if the client understood the discharge instructions. 3. Let the client know the nurse cares about him or her. 4. Assist the health care provider in checking on the client.
A 76-year-old woman presents at the clinic, reporting otalgia in her right ear. Physical assessment reveals cerumen impacted in the patient's ear. Removing this mechanical blockage may do what for this patient? (Select all that apply.)
A) Increase the size of ear canal B) Provide less rigidity in outer ear C) Improve hearing D) Enhance socialization E) Prevent injury