A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment. The patient tells the nurse, "I feel happier, but my sex drive is gone." Which nursing diagnosis has the highest
a. Sexual dysfunction
b. Ineffective coping
c. Deficient knowledge about contraception
d. Risk for self-directed violence
ANS: A
Antidepressants have adverse effects on sexual desire and response. The nurse should be sure to educate the patient on the potential for these side effects and how to correct for them, for example, using lubricant to ease discomfort. The patient has taken steps toward effective coping by seeking therapy. The patient has not expressed a reason for the nurse to be concerned about contraceptives. The nurse should always assess for concerns about violence in a patient's life. Although some antidepressants have been related to self-directed violence, this patient states that she is feeling happy.
You might also like to view...
The patient with rheumatoid arthritis is prescribed an immunosuppressant drug. The patient asks the nurse what this drug is for. What is the nurse's best response?
a. "The doctor prescribes these drugs to strengthen your immune system." b. "The drug inhibits your immune system's normal response." c. "These medications are used to prevent organ rejection." d. "This medication will strengthen your joints and repair any joint damage."
A patient with cardiomyopathy is demonstrating signs of cardiogenic shock. The nurse realizes that this type of shock is due to:
1. Reduced cardiac output 2. Increased stroke volume 3. Reduced blood volume 4. Blood flow blocked in the pulmonary circulation
The nurse is prepared to give the basic medications that are given to all newborns in most states, which are: (Select all that apply.)
a. Vitamin C b. Hepatitis B vaccine c. Iron supplement d. Erythromycin ointment to the eyes e. Vitamin K (Aquamephyton)
Which statement is not one of the reasons that clients undergoing chemotherapy usually receive several rounds of treatment spaced over time?
1. Side effects can occur, and the client needs time to recover. 2. The neutrophil count can decrease, so time between treatments is necessary for the body to make more neutrophils to boost the immune system. 3. The cost of treatments is very high. 4. Each round of chemotherapy kills only a set percentage of cancer cells.