Jaycee has been on escitalopram (Lexapro) for a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when starting a taper off antidepressants?
1. Change dose to every other day dosing for a week
2. Reduce dose by 50% for 3 to 4 days
3. Reduce dose by 50% every other day
4. Escitalopram (Lexapro) can be stopped abruptly due to its long half-life
2
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A nurse is taking a patient who has Alzheimer disease to the bathing room for a tub bath. The patient states, "Please don't make me take a bath today. I am so afraid that I will be washed down the drain." What is the nurse's best response?
a. "Don't be silly; there's no way you would fit in the drain." b. "I am your nurse, and I will stay with you, so you shouldn't be afraid of your bath." c. "Let's go back to your room, and I will bathe you there." d. "Today is your day for a bath."
When it is time for a patient's third round of chemotherapy for colon cancer, the patient's white blood cell count is low and the treatment is delayed. The patient is upset at this delay. What is your best response?
a. "This extra time will give your hair a chance to grow back in." b. "This is for the best. You are too weak to receive chemotherapy now." c. "I will call the physician and request a prescription for something to calm your nerves." d. "Try not to worry. Your counts will probably be high enough next week and the chemotherapy will work just as well then."
The nurse is interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction. Which statement is the best way to open the interview?
a. "When was the last time you were impo-tent?" b. "Do you attempt to have intercourse every week?" c. "What medications have you tried pre-viously?" d. "What experiences have you had with erectile dysfunction?"
An IV of 1,000 mL D5W has been ordered to be infused at 100 mL/hr. The administration set delivers 20 gtt/mL. The IV was hung at 10:00 pm. At 2:00 am, you check the IV, and 600 mL have infused. Recalculate the gtt/min for the remaining solution. _____
a. 25 b. 17 c. 22 d. 33