A client who has been taking fluvoxamine (Luvox) without significant improvement asks a nurse, "I heard about something called a monoamine oxidase inhibitor (MAOI). Can't my doctor add that to my medications?" Which is an appropriate nursing reply?
A. "This combination of drugs can lead to delirium tremens."
B. "A combination of an MAOI and Luvox can lead to a life-threatening hypertensive crisis."
C. "That's a good idea. There have been good results with the combination of these two drugs."
D. "The only disadvantage would be the exorbitant cost of the MAOI."
ANS: B
The nurse should explain to the client that combining an MAOI and Luvox can lead to a life-threatening hypertensive crisis. Symptoms of hypertensive crisis include severe occipital and/or temporal pounding headaches with occasional photophobia, sensations of choking, palpitations, and a feeling of "dread."
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If a body fluid is spilled, the nurse should first don gloves, then spray the fluid with:
a. liquid detergent. b. 20% bleach solution. c. 10% bleach solution. d. warm soapy water.
In terms of communicating reports of research, compare oral presentation with poster presentations by identifying the statements that describe poster presentations. Standard Text: Select all that apply
1. Large numbers of people are able to learn of the study in a short period of time. 2. Easy way to communicate findings. 3. Travel costs for presenters are reimbursed by the conference sponsors. 4. One-to-one interaction is typical for discussion of findings. 5. Written report required for publication in a "Proceedings" conference document.
A newly licensed nurse is admitting an elderly client. The nurse asks the preceptor why the client would be taking a smaller-than-recommended dose of a medication. Which of the following is the most appropriate response by the preceptor?
A) "The client is probably confused and told you the wrong amount." B) "Aging affects the body's ability to handle drugs. Some elderly clients will take dosages of medications that are less than are recommended for adults." C) "Some elderly clients can't afford to pay for their medications, so he probably only takes half of what he is supposed to be taking." D) "Hepatic blood flow increases as one ages. This requires less of a medication to prevent toxicity."
As a nurse manager, you notice that one of your new nurses has provided exceptional care for a patient with especially complex needs. What would be the MOST effective way of recognizing the nurse's performance?
a. At the next performance review, note specifically what the nurse did to make the patient comfortable. b. To avoid embarrassing the nurse in front of others, find a way to compliment the nurse in private. c. When the nurse comes out of the room, tell the nurse specifically what you appreciated about the care that was provided. d. Encourage the patient to note the care on the patient feedback form so that the institution can recognize the nurse's efforts.