A nursing student is reviewing the home medications of a client who has just been admitted with chronic back pain
When asked by the nursing instructor why there is a tricyclic antidepressant on the client's list, which response by the student is most likely the accurate reason? 1. "I would think having chronic pain would make the client depressed."
2. "It may be to prevent depression due to physical limitations."
3. "This type of medication can help inhibit painful stimuli."
4. "The client is at risk for suicidal thoughts related to the chronic pain."
3
Rationale 1: This medication is not being used to prevent or manage depression.
Rationale 2: This medication is not being used to prevent or manage depression.
Rationale 3: Tricyclic antidepressants can inhibit the reuptake of norepinephrine and serotonin. This would assist with the modulation phase of pain response by decreasing the pain stimuli response.
Rationale 4: This medication is not being used to reduce the incidence of suicidal thoughts.
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An older adult client with heart disease tells the nurse, "I am sick because I sinned by smoking cigarettes." Which response by the nurse is appropriate?
A) "Smoking cigarettes isn't a sin. There are many worse habits you could have." B) "Cigarette smoking was desirable when you began smoking. We didn't know about the problems it could cause." C) "Why don't we call the hospital chaplain and you can pray about your sins?" D) "You are correct, but it is too late to do anything about it now."
The nurse is providing a discharge instruction sheet for a client who has had a pulmonary embolism and is going home on Coumadin therapy. Which of the following are important to review with the client?
a. Follow up with the lab at prescribed intervals for PT/PTT levels. b. Use a soft toothbrush to prevent trauma to gums and bleeding. c. Inspect skin daily for bruises and/or petechiae. d. Eat a large amount of leafy, green vegetables a day for good nutrition. e. Continue other aspirin medications for arthritis pain as needed. f. Report nosebleeds, tarry stool, hematuria, or hematemesis to physician. g. Report signs and symptoms of amenorrhea to physician.
What is the major focus of the evaluation step in the nursing process?
a. comparing the client's progress with the ex-pected outcomes and goal b. measuring the adequacy of the facility to meet the needs of clients c. measuring the adequacy of nursing activities while implementing the nursing process d. measuring the cost-effectiveness of nursing care
The nurse is performing a health history on a patient who has arthritis. The patient reports tinnitus. Suspecting a drug adverse effect, the nurse will ask the patient about which medication?
a. Aspirin (Bayer) b. Acetaminophen (Tylenol) c. Anakinra (Kineret) d. Prednisone (Deltasone)