Which client comment would alert the nurse that atomoxetine (Strattera) should be held and the health care provider notified?
1. "I get lightheaded when I get out of bed in the mornings."
2. "Sometimes I have difficulty going to sleep."
3. "I always feel like I have such a dry mouth."
4. "Sometimes I feel like I'd be better off if I were dead."
Correct Answer: 4
Rationale 1: Orthostatic hypotension is a side effect of Strattera. The client should get up slowly from lying to sitting and then sitting to standing to allow for adjustment in change of position.
Rationale 2: Insomnia is a common side effect of medications given to treat ADHD. It is not the most important issue.
Rationale 3: A dry mouth can be treated with increased fluid intake and sugarless gum or hard candy.
Rationale 4: Suicidal ideation is a serious adverse effect of Strattera. The medication should be held, and the health care provider notified immediately.
Global Rationale: Suicidal ideation is a serious adverse effect of Strattera. The medication should be held, and the health care provider notified immediately. Orthostatic hypotension is a side effect of Strattera. The client should get up slowly from lying to sitting and then sitting to standing to allow for adjustment in change of position. Insomnia is a common side effect of medications given to treat ADHD. It is not the most important issue. A dry mouth can be treated with increased fluid intake and sugarless gum or hard candy.
You might also like to view...
It is important for the nurse to develop a realistic birth plan with the pregnant woman. The nurse can explain that a major advantage of nonpharmacologic pain management is that
a. More complete pain relief is possible. b. No side effects or risks to the fetus are involved. c. The woman remains fully alert at all times. d. A more rapid labor is likely.
The nurse is assisting an adolescent female with a Milwaukee back brace for treatment of scoliosis. Nursing care is correct if the nurse takes which action?
a. Has the patient take a Betadine shower before the brace is placed b. Removes any wrinkles from the patient's thin cotton shirt under the brace c. Asks the patient when her menstrual pe-riod is next due d. Instructs the patient on how to loosen the brace for comfort
A low-carbohydrate, high-protein diet may:
1. Increase drug-metabolizing enzymes 2. Decrease drug absorption from the GI tract 3. Alter drug binding to plasma proteins 4. Enhance drug elimination
There are several barriers to culturally competent care. The nursing instructor asks a student nurse of Japanese heritage to teach others dosage calculations since Asians are good at math
What is the most critical barrier to cultural competency this nursing instructor is practicing? A) Prejudice B) Ethnocentrism C) Stereotyping D) Subculture belief