A client taking amitriptyline (Elavil) for 2 weeks tells the nurse the prescription is not working. Which response should the nurse provide the client?
A. "The prescription can take several weeks to have an effect."
B. "You might still feel depressed, but you are looking much better."
C. "This may not be the best prescription for you; I will notify your healthcare provider"
D. "You may need additional pharmacotherapy."
Answer: A
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An older adult recently retired and reports "being depressed and lonely." What information should the nurse assess as a priority?
a. History of previous depression b. Previous stressful events c. Role of work in the adult's life d. Usual leisure time activities
The charge nurse is orienting a float nurse to an assigned client with an arteriovenous (AV) fistula for hemodialysis in her left arm. Which action by the float nurse would be considered unsafe?
a. Palpating the access site for a bruit or thrill b. Using the right arm for a blood pressure reading c. Administering intravenous fluids through the AV fistula d. Checking distal pulses in the left arm
What should the nurse include when counseling potential parents about genetic disorders?
A) Environmental influences may affect multifactorial inheritance. B) Genetic disorders primarily follow Mendelian laws of inheritance. C) All genetic disorders involve a similar number of abnormal chromosomes. D) The absence of genetic disorders in both families eliminates the possibility of having a child with a genetic disorder.
A client with SIRS is being treated with drotrecogin alfa (Xigris). The client exhibits a decrease in level of consciousness. Which action by the nurse is most important?
a. Increase the rate of IV infusion. b. Notify the physician. c. Order a stat ECG. d. Take a set of vital signs.