The depressed patient who has been taking amitriptyline (Elavil) for the past 2 weeks complains of still feeling depressed and wants to abandon the drug. How should the nurse respond?
a. "I will ask the physician about a new order for a different drug."
b. "You probably should quit taking Elavil if it is not helping you."
c. "Sometimes drinking a small glass of wine with meals helps."
d. "These drugs take several weeks to be-come effective."
D
Tricyclics may take up to 4 weeks before patients experience symptom relief. The patient has not been taking the medication long enough to request a new order. The nurse should not encourage the patient to discontinue the medication. This medication should not be combined with alcohol.
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_____________________________ is a lower-than-normal amount of amniotic fluid
ANS:
The nurse manager is planning to implement the Lean Six Sigma system on the nursing unit to improve the quality of care. Which should the manager implement when following this model?
A) Shortening break time B) Ordering more supplies than needed on the unit to ensure they never run out C) Replacing a licensed staff member with unlicensed assistive personnel D) Decreasing staff when the census is low
The nurse is monitoring a client undergoing an exercise electrocardiography (stress test). Which assessment finding necessitates that the test be stopped?
a. Heart rate increases to 140 beats/min b. Blood pressure of 100/80 mm Hg c. Respiratory rate exceeds 36 breaths/min d. Significant ST-segment depression
The nurse is helping a patient in pain by gently massaging the painful area. The nurse is utilizing which form of pain control with the patient?
1. acupuncture 2. biofeedback 3. guided imagery 4. cutaneous stimulation