An elderly client is exhibiting symptoms of major depressive disorder. A physician is considering prescribing an antidepressant. Which physiological problem should make a nurse question this medication regimen?
A. Altered cortical and intellectual functioning
B. Altered respiratory and gastrointestinal functioning
C. Altered liver and kidney functioning
D. Altered endocrine and immune system functioning
C
The nurse should question the use of an antidepressant medication in a client with altered liver and kidney function. Antidepressant medication should be administered with consideration for age-related physiological changes in absorption, distribution, elimination, and brain receptor sensitivity. Because of these changes, medications can reach high levels despite moderate oral dosage.
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A patient with a diagnosis of insulin dependent diabetes mellitus is being treated for a stage II foot ulcer. The patient refuses to follow an ADA diet as ordered by a physician and is morbidly obese
The nurse assesses the ulcer to be healing, free from signs and symptoms of infection, with a positive pedal pulse and warm to touch. What nursing diagnosis will be identified as a priority? a. Infection b. Altered nutrition: more than body requirements c. Impaired skin integrity d. Altered peripheral tissue perfusion
A patient is hospitalized with cryptococcal pneumonia and AIDS. What is the most important standard precaution for the health care team to implement?
a. Hands are washed before and after glov-ing. b. After gloves are put on, they do not need to be changed until care is finished. c. Needles and sharps should be placed in puncture-resistant containers on the medi-cine cart out of the room. d. Mouth-to-mouth resuscitation must be performed immediately unless the patient is a designated as "do not resuscitate."
Which information should the nurse include in the teaching plan for a patient receiving clozapine (Clozaril)?
a. "Abstain from using tobacco products." b. "Increase your daily carbohydrate intake." c. "Notify your health care provider if you start drooling." d. "You will need monthly electrocardiographic tracings done."
A patient who has had a mechanical valve replaced is receiving discharge instructions regarding Coumadin therapy from the nurse. Which of the following patient statements would indicate that the patient understands the teaching?
1. "I will avoid bananas and citrus fruit.". 2. "I will increase fiber in my diet.". 3. "I will avoid crowded environments.". 4. "I will include more salads with my meals.".