A patient with depression has taken an SSRI for 1 month. The nurse should use direct questions to evaluate which potential side effect?
a. Aggressive impulses
b. Sexual dysfunction
c. Paranoid delusions
d. Weight gain
B
SSRIs often produce sexual dysfunction, such as decreased libido. Patients readily tell nurses about anticholinergic, gastrointestinal, and other side effects, but are not as forthcoming in reporting sexual problems. The nurse might need to ask directly to elicit this information. Patients are more willing to discuss the other options.
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The pediatric nurse caring for patients in a trauma center examines a patient who has increased intracranial pressure as a result of a brain tumor. The nurse is aware that primary brain injuries like this one can result from:
A) acidosis. B) infections. C) hypercapnia. D) reduced oxygen.
A client has a urinary tract infection that is treated with an antibiotic. The medication has a tendency to cause crystalluria. Which nursing intervention may prevent this side effect?
a. Treating with urinary antispasmodics b. Increasing oral fluid intake c. Increasing intake of acid-ash fluids/foods d. Maintaining urine specific gravity above 1.025
A primary care NP sees a 60-year-old woman for a physical examination. The woman tells the NP she is taking tamoxifen for treatment of breast cancer. To monitor her response to this medication, the NP should order:
a. a chest radiograph. b. bone mineral density testing. c. serum bilirubin and creatinine. d. liver enzymes and a complete blood count (CBC).
Catherine is a student nurse who volunteers twice a month in an inner city clinic. The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100
4° F. The mother was concerned that her daughter might be ill. Which of the following is the best response from Catherine? A. "Babies usually run lower rather than higher temperatures when ill." B. "Because the temperature is low-grade, it is probably a viral infection.' C. "Rectal temperatures are higher than temperatures obtained in other sites." D. "Because the temperature is low-grade, it is probably a bacterial infection."