An adolescent patient comes to the clinic and reports anxiety and poor sleep that have persisted since experiencing a hurricane 8 months prior. The patient has been receiving cognitive-behavioral therapy, which has helped a little
The primary care NP should order: a. doxepin.
b. fluoxetine.
c. alprazolam.
d. clonazepam.
B
This patient has posttraumatic stress disorder. If cognitive-behavioral therapy has not been effective, the patient should be given an SSRI as second-line treatment. Doxepin is a tricyclic antidepressant. The other two choices are benzodiazepines.
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A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). The nurse recognizes that the hallucinations may last as long as:
a. 30 to 60 minutes. b. 1 to 4 hours. c. 4 to 6 hours. d. 6 to 12 hours.
A patient is hemorrhaging from a laceration of the artery in the lower leg. To control the bleeding, the nurse should apply pressure on the:
A) Brachial artery B) Femoral artery C) Femoral vein D) Radial artery
A client is experiencing the ventilation-perfusion mismatch termed shunting. The nurse realizes that the client most likely is not experiencing which of the following disorders?
1. Hemothorax 2. Intrapulmonary fistulas 3. Pneumothorax 4. Pulmonary embolus
A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a part of the interview, the nurse should ask, "Have you noticed:
A) a change in your urination patterns?" B) any excessive vaginal bleeding?" C) any unusual vaginal discharge or itching?" D) any changes in your desire for intercourse?"