The nurse is working on the telemetry unit and has noted that many post–myocardial-infarction (MI) patients experience depression. What medication would the nurse question if ordered for one of these patients?
A) Amitriptyline
B) Escitalopram
C) Fluoxetine
D) Fluvoxamine
A
Feedback:
Amitriptyline is a tricyclic antidepressant (TCA). One contraindication to the use of TCAs includes recent myocardial infarction because of the potential occurrence of reinfarction or extension of the infarct with the cardiac effects of the drug. Selective serotonin reuptake inhibitors would be the safest antidepressant to give so there would be no need to question an order for escitalopram, fluoxetine, or fluvoxamine.
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Which document called for a restructured healthcare system ensuring universal access to a standard package of essential healthcare services for all U.S. citizens and residents?
It also specified that this access should be affordable, available, and acceptable. 1. AMA's Happy and Healthy People 2. ANA's Health System Reform Agenda 3. WHO's Future of Health Care 4. ANA's Have a Good Day Policy
The nurse manages an acute care unit that is beginning to provide care for more and more older adults after surgery. The nurse manager would encourage nurses to add which interventions to the plan of care for these patients?
1. Use of restraints to prevent falls and disruption of invasive lines 2. Early return to ambulation and self-care activities 3. Get patients out of bed to a chair for most of the day 4. Keep patients on bedrest until strength returns
A nurse caring for elderly patients in an assisted-living facility encourages patients to eat a diet high in fiber to avoid which of the following developmental risk factors for this group?
A) diarrhea B) fecal incontinence C) constipation D) flatus
What is the ethic of caring (Gilligan, 1982)?
What will be an ideal response?