A provider has indicated that a serotonin/norepinephrine reuptake inhibitor (SNRI) will be prescribed for a patient who is experiencing major depression
When conducting a pretreatment health history, the nurse learns that the patient has a recent history of alcohol abuse. Which SNRI would be contraindicated for this patient? a. Desvenlafaxine [Pristiq]
b. Duloxetine [Cymbalta]
c. Escitalopram [Lexapro]
d. Venlafaxine [Effexor SR]
B
Duloxetine can cause elevation of serum transaminases, indicating liver disease. Patients with existing liver disease or alcohol abuse should not receive this drug. This side effect is not likely with desvenlafaxine or venlafaxine. Escitalopram is an SSRI.
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For several days after her husband's death, a client repeats over and over "I should have made him
go to the doctor when he said he did not feel good.". It can be assessed that the individual is experiencing a. preoccupation with the image of the deceased. b. sensations of somatic distress. c. anger. d. guilt.
A new mother reports that her newborn often spits up after feeding. Assessment reveals regurgitation. The nurse responds integrating understanding that this most likely is due to which of the following?
A) Placing the newborn prone after feeding B) Limited ability of digestive enzymes C) Underdeveloped pyloric sphincter D) Relaxed cardiac sphincter
A client has developed pneumonia, and his temperature has increased to 37.7° C. The client is shivering and "feels uncomfortable." The nurse should:
1. Apply hot packs to the axilla and groin 2. Wrap the client's four extremities 3. Restrict oral fluid consumption 4. Apply a hypothermia mattress
The physician orders metoprolol 50 mg oral twice a day for a patient with hypertension. Metoprolol is available in 25-mg tablets. How many tablets would the nurse administer with each dose? ___________
Fill in the blank(s) with correct word