A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)."
The nurse's reply should be based on the knowledge that paroxetine is a:
a. selective norepinephrine reuptake inhibitor.
b. tricyclic antidepressant.
c. MAO inhibitor.
d. SSRI.
A
Paroxetine is an SSRI and will not produce the same side effects as imipramine, a tricyclic antidepressant. The patient will probably not experience dry mouth, constipation, or orthostatic hypotension.
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A nurse is treating a client with diabetes mellitus who complains of erectile dysfunction (ED). Which hormonal cause contributes to ED?
A) Increased prolactin levels B) Decreased aldosterone levels C) Decreased circulating catecholamines D) Decreased thyroid-stimulating hormone
A nurse providing wellness seminars plans which of the following primary prevention activities related to sickle cell disease?
a. Have a "sick day management" tip sheet for those with SCD. b. Offer information on genetic counseling for SSD. c. Plan to have a list of community resources for the families of people with SCD. d. Provide a list of day care providers willing to care for children with SCD.
The nurse is providing care to a patient who has a history of suing health care providers. Which of the following can the nurse do to reduce the risk of a lawsuit?
1. Establish communication and trust. 2. Spend as little amount of time with the patient as possible. 3. Delegate care activities to an unlicensed assistant. 4. Switch the assignment with another nurse.
A 50-year-old woman who is postmenopausal is taking an aromatase inhibitor as part of a breast cancer treatment regimen. She calls her primary care NP to report that she has had hot flashes and increased vaginal discharge but no bleeding
The NP should: a. schedule her for a gynecologic examination. b. recommend that she use a barrier method of contraception. c. tell her to stop taking the medication and call her oncologist. d. reassure her that these are normal side effects of the medication.