The patient has been severely depressed since her father died 6 months ago. The physician has prescribed amitriptyline. The nurse reviews the patient's chart before administering the medication
What preexisting condition would require cautious use of this drug? A) Osteosarcoma
B) Cardiovascular disorders
C) Closed head injury
D) Bleeding ulcer
B
Feedback:
Caution should be used with tricyclic antidepressants in patients with preexisting cardiovascular (CV) disorders because of the cardiac stimulatory effects of the drug and with any condition that would be exacerbated by the anticholinergic effects (e.g., angle-closure glaucoma, urinary retention, prostate hypertrophy, GI or genitourinary surgery). There is no indication that caution is needed with patients diagnosed with osteosarcoma, closed head injury, or bleeding ulcer.
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A family member has developed tuberculosis (TB) and the rest of the family members are undergoing TB skin testing to determine their status
The nurse assesses the indurations and determines that a family member with which size induration shows a positive reaction for TB? A) 2 mm B) 3 mm C) 4 mm D) 5 mm
A patient with obstructive sleep apnea is unhappy using CPAP therapy and asks the nurse if there is something else he can try. What is the best statement by the nurse?
1. "Perhaps a class in sleep hygiene would be helpful." 2. "Certain classes of sleeping pills are sometimes effective in OSA." 3. "Cognitive-behavioral therapy works for some people with OSA." 4. "Oral-pharyngeal surgery, some appliances, or weight loss are sometimes utilized."
The nurse is teaching the parents of a child with multiple environmental allergies on ways to control allergens in the home. What should the nurse include in these instructions? (Select all that apply.)
A) Remove all carpeting. B) Install a dehumidifier in the home. C) Consider having fish as pets instead of a dog or cat. D) Remove stuffed toys unless filled with synthetic material. E) Replace furniture with upholstered chairs and sofas for sitting.
A nurse has been caring for a client diagnosed with generalized anxiety disorder (GAD). Which of the following nursing interventions would address this client's symptoms? Select all that apply
A. Encourage the client to recognize the signs of escalating anxiety. B. Encourage the client to avoid any situation that causes stress. C. Encourage the client to employ newly learned relaxation techniques. D. Encourage the client to cognitively reframe thoughts about situations that generate anxiety. E. Encourage the client to avoid caffeinated products.