A college student is brought into the emergency department for treatment after friends say that she took at least 20 antidepressant pills all at once

A nurse should be most concerned that of all the antidepressants, which of the following could lead to the worst outcome for the patient?
a. Venlafaxine (Effexor)
b. Fluoxetine (Prozac)
c. Paroxetine (Paxil)
d. Sertraline (Zoloft)


ANS: A
Venlafaxine can cause dose-related, sustained diastolic hypertension, a medical crisis for the patient.
Fluoxetine, paroxetine, and sertraline, all selective serotonin reuptake inhibitors, may do harm to the patient when taken in such a large dose, but death by overdose is extremely rare.

Nursing

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The family wishes to continue all aspects of care for a terminally and critically ill patient in the interests of justice and nonmalfeasance

The health care team believes that further sophisticated and technical interventions are futile and that the focus of care should be shifted to provision of comfort, dignity, and palliative care. Neither the family nor the health care team is willing to compromise any portion of their stances. The patient is unresponsive. This situation is an example of what kind of problem? A) Ethical dilemma B) Recalcitrant family C) Biotechnology effects D) Paternalism

Nursing

The nurse is alert for a serious condition called ___________ that results from pathogens being introduced into the blood stream

ANS:

Nursing

Psychiatric rehabilitation focuses on: (Select all that apply.)

a. Helping clients control their behaviors b. Assisting clients to cope effectively with their life situations c. Helping clients identify their feelings d. Preventing the client from harming himself or herself e. Assisting the client with problem-solving techniques f. Assisting with occupational and vocational training

Nursing

A nurse is preparing a presentation about mental health problems associated with specific cultural groups. When describing mental health problems associated with Asian Americans, Polynesians, and Pacific Islanders, the nurse would address high rates of which of the following?

A) Schizophrenia B) Manic disorders C) Dementia D) Suicide

Nursing