A client taking SSRIs mentions to the nurse that his current medication causes fewer side effects than the tricyclic antidepressant he took several years earlier. The nurse understands that SSRIs advantage is due to:
1. Inhibiting both serotonin and norepinephrine uptake
2. Blocking only serotonin reuptake
3. Selectively inhibiting dopamine uptake
4. Making more GABA available
ANS: 2
TCAs inhibit the reuptake of both norepinephrine and serotonin, producing more side effects than SSRIs that selectively block only serotonin reuptake. SSRIs do not affect dopamine or GABA availability.
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A patient, age 26, has had a tubal insufflation (Rubin's test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. The nurse's most appropriate response would be
a. "Don't worry, that is a normal reaction." b. "I'll report the findings immediately to the head nurse." c. "That is a symptom that resulted from your position on the operating table." d. "That is from the carbon dioxide passing from the fallopian tubes into your abdomen."
A patient has decided to forgo additional treatments for her terminal disease. The patient has presented a valid living will. The family is unhappy and tells the nurse they think the patient made the decision because of her depression. What response by the nurse is indicated?
1. "You need to let her make her own decisions." 2. "Do you think if we talked to her she would change her mind?" 3. "My role is to assure your loved one's wishes are followed." 4. "You need to talk to her physician about revising the do not resuscitate order."
Ferrous sulfate is prescribed for an individual with iron deficiency anemia. The patient should be instructed to expect which harmless side effect?
a. Black stools b. Bloody diarrhea c. Fever d. Severe abdominal cramps
Which arterial blood gas values are typical for the client with cystic fibrosis?
A. pH 7.28, HCO3– 12 mEq/L, PCO2 45 mm Hg, PO2 96 mm Hg B. pH 7.32, HCO3– 17 mEq/L, PCO225 mm Hg, PO2 98 mm Hg C. pH 7.28, HCO3– 36 mEq/L, PCO2 65 mm Hg, PO2 78 mm Hg D. pH 7.48, HCO3– 12 mEq/L, PCO2 35 mm Hg, PO2 85 mm Hg