Nortriptyline (Aventyl) was prescribed for a 68-year-old patient diagnosed with depression and insomni
a. Benefits specific to use of nortriptyline would include:
a. regular bowel movements.
b. improved sleep pattern.
c. weight loss.
d. anhedonia.
B
Nortriptyline is a secondary amine with a good side effect profile. It has a minimal tendency to cause orthostatic hypotension, meaning the risk of falls is low. It is somewhat sedating, which is helpful to patients with insomnia. The other options are either undesirable or nonspecific outcomes.
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A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin
When planning the appropriate educational interventions and considering variables that will affect his learning, the nurse should prioritize which of the following factors? A) Patient's expected lifespan B) Patient's gender C) Patient's occupation D) Patient's culture
A client who has type 2 diabetes is pregnant with her second child. She was not diagnosed with diabetes until after her first pregnancy. Past obstetric history is unremarkable—spontaneous vaginal birth of a male weighing 7 pounds, 15 ounces
The client is now concerned over what will happen during this subsequent pregnancy as a result of her disease process. What impact could the disease process have on her upcoming birth? a. Client will not be able to receive an epidural for pain management. b. Client will not be able to have a vaginal birth. c. A planned birth will be instituted by her health care provider. d. It is likely that she will deliver a fetus who is small for gestational age (SGA).
A nurse is caring for a patient who has been noncompliant with the prescribed diabetic diet and exercise regimen. The nurse promotes compliance by enhancing the patient's:
a. sense of control. b. sense of well-being. c. fear of the sequelae of illness. d. dependence on health care workers.
With regard to the assessment of female, male, and couple infertility, nurses should be aware that:
a. The couple's religious, cultural, and ethnic backgrounds provide emotional clutter that does not affect the clinical scientific diagnosis. b. The investigation takes 3 to 4 months and a significant financial investment. c. The woman is assessed first; if she is not the problem, the male partner is analyzed. d. Semen analysis is for men; the postcoital test is for women.