Which drug(s) interact(s) with SSRI agents? (Select all that apply.)
a. Tranylcypromine (Parnate)
b. Lithium (Eskalith)
c. Warfarin (Coumadin)
d. Furosemide (Lasix)
e. Propranolol (Inderal)
ANS: A, B, C, E
A 14-day lapse is recommended between MAOIs, such as Parnate, and SSRI agents.
The incidence of lithium toxicity is increased with SSRI agents. The anticoagulant effects of warfarin may be enhanced with SSRIs. The SSRIs fluvoxamine and citalopram inhibit the metabolism of beta-adrenergic blocking agents such as propranolol. Lasix does not interact with SSRI agents.
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Melanocytes give rise to the pigment melanin, which is responsible for skin color. Where can the melanocytes be found?
a. Dermis b. Superficial fascia c. Epidermis d. Loose connective tissue
A home care client who has been identified as drinking a six-pack of beer daily tells the community
mental health nurse that his arthritis has been "acting up" recently and he is taking acetaminophen arthritis formula four times daily for pain. The priority interventions the nurse should take include (more than one option may be correct) A. determining the safety of the dose the client is ingesting daily. B. advising the client of the harmful effect of alcohol and acetaminophen on the liver. C. suggesting increasing the acetaminophen dose because alcohol causes faster excretion. D. inquiring about sleep disturbance caused by mixing alcohol and analgesics. E. assessing for declining functional status associated with medication-induced dementia.
Two nurses approach their manager about a conflict regarding the next month's schedule. The nurses are talking loudly and at the same time. The manager most effectively uses communication skills to resolve the conflict by:
a. Taking both nurses aside, separately and then together, and charging them with re-solving the problem without her direct intervention. b. Listening to each nurse speak to the other without interruption and asking clarifying questions to help them resolve the issue themselves. c. Separating the nurses, instructing each to decide how the problem can be resolved, and meeting with them the next day. d. Calling an emergency scheduling com-mittee meeting and asking volunteers to resolve the conflict between the two nurses.
When developing a teaching plan for a client, the nurse would include which teaching strategies that are appropriate to use when addressing client learning needs in the cognitive domain? (Select all that apply.)
a. discussion d. role play b. demonstration e. supervised practice c. formal lecture f. games