The client asks the nurse why a tricyclic antidepressant has not been prescribed for depression. What is the best response by the nurse?
1. "Tricyclic antidepressants have many side effects, including orthostatic hypotension, headache, and diarrhea."
2. "Tricyclic antidepressants cause sexual dysfunction."
3. "Tricyclic antidepressants are not recommended for a client with a history of heart attack."
4. "Tricyclic antidepressants aid with digestion and elimination."
3
Rationale 1:"Tricyclic antidepressants have many side effects including orthostatic hypotension, headache, and diarrhea" is incorrect because this is a side effect of MAOIs.
Rationale 2:"Tricyclic antidepressants cause sexual dysfunction" is incorrect because this is a side effect of SSRIs.
Rationale 3: Tricyclic antidepressants are not recommended for a client with a history of heart attack.
Rationale 4:"Tricyclic antidepressants aid with digestion and elimination" is incorrectbecause tricyclic antidepressants have anticholinergic effects of dry mouth, constipation, and urinary retention.
Global Rationale: Tricyclic antidepressants are not recommended for a client with a history of heart attack. "Tricyclic antidepressants have many side effects including orthostatic hypotension, headache and diarrhea" is incorrect because this is a side effect of MAOIs. "Tricyclic antidepressants cause sexual dysfunction" is incorrect because this is a side effect of SSRIs. "Tricyclic antidepressants aid with digestion and elimination" is incorrect because tricyclic antidepressants have anticholinergic effects of dry mouth, constipation, and urinary retention
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The client's past medical history includes atrial fibrillation and stroke, and medications include warfarin sodium (Coumadin) and sotolol (Betapace). Which action by the nurse is most appropriate? a. Place the client on continuous telemetry monitoring. b. Call the health care provider with this in-formation. c. Let the wound care nurse know that the client has arrived. d. Order the VAC and gather other needed supplies.
A patient is scheduled to have skeletal traction. What should the nurse recognize about this type of traction?
1. Weighted skin traction will be applied. 2. A surgical pin will be inserted into a bone and the traction will be applied to the pin. 3. A cast will be applied to the area and a traction device will be connected to the cast. 4. Manual traction will be applied.
The nurse assessing an elderly client with a cardiac dysrhythmia realizes that this health problem in older adults is most commonly associated with:
1. Loss of cells in the sinoatrial node. 2. Increased peripheral resistance. 3. Hypertension. 4. Atherosclerosis.
A client admitted to a Veterans Administration (VA) hospital with a diagnosis of major depressive disorder tells the nurse, "I failed my battalion by giving the wrong order. Fortunately, no one was injured"
Which nursing diagnosis should the nurse assign to this client? A. Chronic low self-esteem B. Risk for self-directed violence C. Powerlessness D. Situational low self-esteem