The increase in the current use of SSRIs compared to tricyclic antidepressants occurred because SSRIs:
a. have less troublesome side effects
b. target rare types of depression
c. are less expensive
d. cause fewer problems with libido
A
The SSRIs have achieved their current popularity because their side effects are less troublesome than those of the tricyclic antidepressants. The SSRIs lack the anticholinergic and orthostatic side effects of tricyclic antidepressants.
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A very concerned 14-year-old boy presents to the clinic because of an enlargement of his left breast. Except for the breast enlargement, the rest of the history and physical was reported as normal
The most appropriate intervention for the nurse to implement next would be to inform the child that: 1. A pediatric endocrine consult is being arranged. 2. The health practitioner is arranging a surgical consult for him. 3. This is a normal finding in adolescent males, and that the breast tissue generally regresses by the time of full sexual maturity. 4. His condition is related to a high-fat diet, and that limiting fat intake usually will resolve the enlargement over a period of a couple of months.
The nurse caring for a patient in the surgical intensive care unit 2 days after a cadaveric renal transplant reviews the new data available for this patient and notes that the patient's potassium is elevated,
she has produced 50 mL of urine over the last 3 hours, and the physician has ordered hemodialysis for later in the afternoon. After reading the orders, the nurse enters the patient's room to find her tearful and the patient states, "I know this transplant will never work and now I am scheduled to have dialysis in the morning." The nurse's best response is: A) "While there is a small chance that the kidney will start to function, keep your chin up, there is always hope." B) "After a transplant it can take up to 2 or 3 weeks for the kidney to start to function, and dialysis is often necessary until that kidney starts to work." C) "The drug companies are always developing better medications for transplant patients, so when you have the next transplant the success rates will be higher." D) "I think an antidepressant medication may help you right now. Are you feeling depressed?"
The nurse advises the mother to give fruit juices along with fruit during the baby's feedings. The purpose of this fruit juice is mainly to:
a. prevent constipation b. hydrate the baby c. enhance absorption of iron in the cereal d. minimize leaching of calcium from the body
A hospital has begun to expand home health services to its clients. Which reason is the most likely cause for the expansion of these services?
A) changes to the structure of Medicare and Medicaid B) the increase in the incidence and prevalence of infectious diseases C) the change to shorter hospital stays D) the need for decreased financial expenditures