The nurse caring for residents in a long-term care facility administers numerous antidepressant medications each day. For which residents should the nurse investigate a possible change in treatment?
A) A 90-year-old resident prescribed a monoamine oxidase inhibitor (MAOI) since the death of his wife
B) An 81-year-old resident who is responding to cognitive therapy for the treatment of her grief and depression
C) An 89-year-old resident who takes citalopram, a selective serotonin reuptake inhibitor, for the treatment of depression
D) A 91-year-old resident who has been taking a tricyclic antidepressant since the onset of his physical decline several years prior
D
Feedback:
Tricyclic antidepressants are noted to have numerous side effects that pose a threat to older adults, including anticholinergic effects, orthostatic hypotension, and arrhythmias. The other antidepressant medications have a lower risk of complications and side effects.
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As a silence falls, one member mentions, "We have heard from several people who describe feeling angry. I would like to hear from some people who experienced other feelings.". The nurse identifies this comment as an example of the group role of: a. energizer. b. compromiser. c. encourager. d. self-confessor.
The nurse is giving an educational talk to a local parent–teacher association. A parent asks how he can help his family avoid community-acquired infections. What would be the nurse's best response to help prevent and control community-acquired infections?
A) "Encourage your family to adopt a healthy diet and exercise regimen." B) "Encourage your family to stop smoking." C) "Make sure your family has all their childhood immunizations." D) "Make sure your family has regular checkups."
An older adult who used a propane heater to warm his apartment has been admitted to the emergency department with suspected carbon monoxide poisoning. The emergency department nurse can most accurately gauge the patient's status by which of the following assessments?
A) Anterior and posterior lung auscultation B) Assessment of oxygen saturation by pulse oximetry C) Analysis of carboxyhemoglobin levels D) Analysis of hemoglobin, hematocrit, and red blood cell levels
The nurse asks you to apply a hot pack. After applying the pack, you need to check the applica-tion site:
a. Every 5 minutes b. Every 10 minutes c. Every 15 minutes d. Every 20 minutes