A middle-aged patient was diagnosed with major depression after a suicide attempt several months ago and has failed to respond appreciably to treatment with SSRIs. As a result, his psychiatrist has prescribed phenelzine
When planning this patient's subsequent care, what nursing diagnosis should the nurse prioritize?
A) Risk for Ineffective Peripheral Tissue Perfusion related to cardiovascular effects of phenelzine
B) Risk for Constipation related to decreased gastrointestinal peristalsis
C) Risk for Infection related to immunosuppressive effects of phenelzine
D) Risk for Injury related to drug–drug interactions or drug–nutrient interactions
D
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The nurse is caring for a patient with gastroenteritis who has been vomiting for 48 hours. A family member of the patient asks the nurse,
"Why is he breathing that way?" What is the nurse's most accurate response after explaining the meaning of pH? "He is breathing a. Fast and deep to help reduce carbon dioxide to increase his pH" b. Slow and shallow to try to retain carbon dioxide to decrease his pH" c. Fast and deep to help reduce carbon dioxide to decrease his pH" d. Slow and shallow to try to retain carbon dioxide to increase his pH"
A 58-year-old woman asks the nurse what she can do to promote healthy physical sexual rela-tions. Based on the client's age, the nurse responds by saying:
1. "Using a water-based lubricant may be helpful." 2. "Reducing the frequency of intercourse may help you." 3. "I will refer you to a sexual therapist to better assist you." 4. "Continue what you've been doing. Nothing should have changed."
Delegating nursing activities
A. is routinely done by nursing assistants. B. has no legal implications. C. is always appropriate for simple tasks. D. requires careful thought and consideration.
Which change is a possible benefit of oral contraceptives?
a. Decreased breast tenderness b. Weight loss c. Heightened sexual pleasure d. Decrease incidence of vaginitis