A client who has been taking fluoxetine (Prozac) 60 mg daily for the past 6 months tells the nurse at
the medication follow-up clinic that he is considering stopping pharmacotherapy.
He states his mood
is fine, and now that he is living normally his wife is concerned that he has no sexual drive. The
nurse's response should be predicated on knowledge that
a. sexual dysfunction is an expected side effect to which the client must adjust.
b. morning dosing will alleviate the problem and foster late evening sexual activity.
c. the problem is usually relationship-oriented and requires couples therapy.
d. switching to mirtazapine (Remeron) may restore sexual function.
D
Mirtazapine, an atypical antidepressant that blocks serotonin, is an a2 adenoreceptor antagonist that
blocks histamine, thus enhancing both nonadrenergic and serotonergic transmitters. It is often
effective in restoring SSRI-induced sexual dysfunction. The other options reflect incorrect
information.
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The nurse is caring for a patient who has been diagnosed with a peptic ulcer. The patient asks the nurse what a peptic ulcer is. Which of the following best describes a peptic ulcer?
A) Inflammation of the lining of the stomach B) Erosion of the lining of the stomach or intestine C) Bleeding from the mucosa in the stomach D) Viral invasion of the stomach wall
A nursing student is helping to care for a patient who takes verapamil for stable angina. The nurse asks the student to explain the purpose of verapamil in the treatment of this patient
Which statement by the student indicates a need for further teaching? a. "It relaxes coronary artery spasms." b. "It reduces peripheral resistance to reduce oxygen demands." c. "It reduces the heart rate, AV conduction, and contractility." d. "It relaxes the peripheral arterioles to re-duce afterload."
A condition that results from infection during pregnancy or injury soon after birth is known as a(n):
a. inherited disability. b. congenital disability. c. acquired disability. d. nosocomial disability.
A 20-month-old child is a client on the pediatric unit of a hospital. The nurse notices that this child is lagging in stage 6 of Piaget's phases of cognitive development. Which activity would indicate that this child is struggling at this stage?
1. The child wants the same toy to sleep with during naptime and bedtime. 2. The child merely watches as the other children pretend-play. 3. The child cries when the parents leave the unit. 4. The child does not cooperate with some of the treatments.