Your patient has been taking a SSRI antidepressant for 6 weeks. On arrival at the clinic, which observation would indicate a positive outcome from the medication?
A.
Patient reports sleeping 12 hours a night.
B.
Patient reports sleeping 3 hours a night.
C.
Patient reports a weight loss of 10 pounds.
D.
Patient arrives neatly dressed.
ANS: D
Attention to personal appearance is an important indicator of improved mood. The other responses are not indicative of improvements in depression. Abnormal sleep patterns indicate continued depression. Weight loss can occur with some antidepressants but would not be used as a measure of positive outcome for depression.
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The nurse is caring for a patient who is unconscious and requires an anticholinergic drug to treat bradycardia. What drug can the nurse administer IV for this purpose?
A) Ipratropium (Atrovent) B) Dicyclomine (generic) C) Methscopolamine (Pamine) D) Atropine (generic)
The nurse is reviewing discharge instructions with a patient ordered to take ursodeoxycholic acid (UDCA). The nurse recognizes that additional teaching is needed regarding this medication when the patient states:
A) "It is important that I see my physician for scheduled follow-up appointments while taking this medication." B) "I will take this medication for 2 weeks and then gradually stop taking it." C) "If I loose weight, the dose of the medication may change." D) "This medication will help dissolve small gallstones made of cholesterol."
Most nutritionists recommend increasing fiber in the diet. In addition to other benefits, how does fiber affect cholesterol?
A) Increases fecal excretion of cholesterol B) Decreases fecal excretion of cholesterol C) Facilitates intake and use of trans fat D) Raises blood cholesterol levels
The scope of professional nursing practice is determined by the rules promulgated by which organization?
a. American Nurses' Association (ANA) b. Institute of Medicine (IOM) c. State Board of Nursing d. State Nursing Association