A nursing student questions an instructor regarding the order for fluvoxamine (Luvox) 300 mg daily for a client diagnosed with obsessive-compulsive disorder (OCD). Which instructor response is most accurate?
1. High doses of tricyclic medications will be required for effective treatment of OCD.
2. Selective serotonin reuptake inhibitor (SSRI) doses, in excess of what is effective for treating depression, may be required for OCD.
3. The dose of Luvox is low because of the side effect of daytime drowsiness.
4. The dose of this selective serotonin reuptake inhibitor (SSRI) is outside the therapeutic range and needs to be questioned.
2
Rationale: The most accurate instructor response is that SSRI doses in excess of what is effective for treating depression may be required in the treatment of OCD. SSRIs have been approved by the Food and Drug Administration for the treatment of OCD. Common side effects include headache, sleep disturbances, and restlessness.
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The nurse is caring for a child who is dying. The parent asks that the child not be told he is dying. The child asks the nurse if he is dying. Which of the following would be the most appropriate action by the nurse at this time?
1. Ignore the child's question and change the subject. 2. Offer to bring in the child life therapist. 3. Suggest the parents meet with the health care team. 4. Tell the child he is dying and offer to stay with him.
Order: Polymixin B sulfate 25,000 units/kg/d in four equally divided doses IM. The label on the vial reads 500,000 units. The manufacturer recommends diluting 500,000 units with 5 ml of sterile water
How many milliliters will you prepare for a single dose if the patient weighs 150 pounds? 1. 4.3 mL 2. 7.5 mL 3. 68.2 mL 4. 0.85 mL
The nurse instructs an alcoholic patient that consuming alcohol while taking disulfiram (Antabuse) will result in severe:
a. nausea. b. blackouts. c. headaches. d. hypertension.
____________________ is a field of medicine that focuses on the treatment and control of obesity and on medical conditions and diseases associated with obesity.
Fill in the blank(s) with the appropriate word(s).