A severely depressed client who had been successfully treated 5 years earlier using clomipramine (Anafranil) was admitted to the adult psychiatric unit where clomipramine was again ordered
For which medication side effects should the client be monitored?
1. Polyuria and coarse hand tremors
2. Orthostatic hypotension and constipation
3. Excess salivation and drooling
4. Muscle rigidity and restlessness
ANS: 2
Alpha1 blockade produces orthostatic hypotension, and cholinergic blockade produces constipa-tion. 1. Mild tremors and urinary retention may occur. 3. This may occur with SSRIs. 4. This may occur with antipsychotics.
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The nurse has a strong personal value system and is concerned that these values may conflict with the values of a newly assigned nursing unit. What should the nurse do? (Select all that apply.)
1. Identify personal values. 2. Be watchful for situations in which there may be a values conflict. 3. Hold personal values in check if it is still possible to provide effective care. 4. Refuse to be transferred to this unit. 5. Discuss the situation with the nursing supervisor.
During the past 20 years, the prevalence of obesity has increased dramatically in the United States, with one-third of women older than 20 years of age being obese
Body mass index is defined as the measure of an adult's weight in relation to his or her height. This is currently the most accurate measure of weight. It is an important part of the health screening process because obesity is closely associated with: a. The non-Hispanic Caucasian population. b. A large number of chronic conditions. c. Mostly acute illnesses. d. Improved mental well-being.
The nurse manager determines that a new staff nurse is capable of caring for patients with genetic disorders. What information did the manager use to make this decision?
Select all that apply. 1. The nurse evaluates care provided to patients. 2. The nurse identifies patients' needs for referrals. 3. The nurse advocates for pregnancy terminations. 4. The nurse performs physical assessments accurately and thoroughly 5. The nurse consistently completes a genetic-focused family history with patients.
A patient who has a nonproductive cough will begin taking guaifenesin to help with secretions. When teaching this patient about the medication, the nurse will provide which instruction?
a. "Avoid driving or using heavy machinery." b. "Drink extra water while taking the medication." c. "Monitor urine output closely." d. "Take with an oral antihistamine for better effects."