An older female adult who takes citalopram (Celexa) 10 mg by mouth daily states she does not feel better after 1 week of treatment
Rank the interventions in order, starting with the first intervention the nurse should implement to facilitate patient compliance with therapy. a. Tell her that the beneficial effects can take 4 to 6 weeks to appear.
b. Instruct her to take the medication as prescribed without stopping.
c. Suggest hard candy, ice chips, and sips of water for a dry mouth.
d. Collaborate with the health care provider to provide an increased dosage.
A, B, C, D
a. Usually, older adults are sensitive to the effects of medication, but under normal circums-tances, the therapeutic effect of citalopram, and other selective serotonin reuptake inhibitor (SSRI) antidepressant medications, can take up to 4 to 6 weeks to appear. Conversely, if an individual taking an antidepressant experiences adverse effects of the medication, in-struct the individual to take the medication as prescribed continually for 1 to 2 months be-fore abandoning therapy because the untoward effects usually diminish or disappear with time.
b. Secondly, to bolster the initial intervention, the nurse instructs the older adult to continue therapy without stopping because consistent, daily administration is the best method of achieving the full beneficial effects of an antidepressant.
c. A common, early adverse effect of antidepressant therapy is dry mouth, so the nurse sup-plies the individual with strategies for effectively counteracting the anticholinergic effects of this medication.
d. The nurse assists the older adult with strategies to manage antidepressant therapy before asking for an increased dosage. Titration of antidepressant medication for an older adult is a very slow process because of increased sensitivity to the effects of medication. In addi-tion, dosing trial and error is a very common strategy for determining an individual's op-timum dose.
You might also like to view...
A patient is scheduled to undergo a bronchoscopy for the investigation of a bronchial mass. What benzodiazepine should the clinic nurse anticipate administering for conscious sedation?
A) Triazolam (Halcion) B) Midazolam (Versed) C) Oxazepam (Serax) D) Chlordiazepoxide (Librium)
The method of charting that provides a continual description of a patient's condition, complaints, problems, assessment findings, activities, treatments,
and nursing care, along with the evaluations of effectiveness for each nursing intervention from admission through discharge, is known as 1. Charting by exception. 2. Focus charting. 3. Narrative charting. 4. SOAPIER (Subjective data, Objective data, Assessment data, Plan, Intervention, Evaluation, Revision) charting.
If one-half of a suppository is ordered, it is recommended to cut it ________ and not in half.
Fill in the blank(s) with the appropriate word(s).
A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? Select all that apply.