A patient who has symptoms of depression also reports chronic pain. The primary care NP should begin therapy with:
a. fluoxetine (Prozac).
b. duloxetine (Cymbalta).
c. bupropion (Wellbutrin).
d. nortriptyline (Pamelor).
B
Duloxetine is an antidepressant that also has uses for pain syndromes associated with depression.
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The nurse teaches the patient who has undergone skin grafting which of the following general guidelines regarding donor-site care after healing?
A) Limit protein intake. B) Apply cold compresses to the area. C) Showering is contraindicated. D) Keep the area protected from sunlight.
Caregivers ask the nurse how they need to deal with their toddler who is a picky eater and eats very little at mealtime
In addition to telling the caregivers that this is not unusual behavior for a toddler, which of the following statements by the nurse would be most helpful? a. "Serve 1 tablespoon per year of age of each of the major food groups, and make the child sit at the table until this is consumed." b. "Serve more vegetable and fruit juice as well as protein shakes, allowing the child to drink when unwilling to eat." c. "Offer smaller amounts of food to encourage the toddler to ask for more, and serve frequent nutritious snacks throughout the day." d. "Serve new foods frequently, as children like variety and the child may be tired of the same old foods at every meal."
A newly admitted client asks, "Why do we need a unit schedule? I'm not going to these groups. I'm here to get some rest." Which is the most appropriate nursing reply?
A. "Group therapy provides the opportunity to learn and practice new coping skills." B. "Group therapy is mandatory. All clients must attend." C. "Group therapy is optional. You can go if you find the topic helpful and interesting." D. "Group therapy is an economical way of providing therapy to many clients concurrently."
While observing a student nurse perform open tracheostomy suctioning, a nurse recognizes that further instruction is required if
1. The student dons sterile gloves before touching the suction catheter. 2. The student suctions the patient's mouth and then uses the same catheter to suction the tracheostomy. 3. The student discards the suction catheter and other supplies into the patient's bedside biohazard trashcan. 4. The student lubricates the suction catheter with sterile normal saline.