A client has fibromyalgia and is prescribed duloxetine hydrochloride (Cymbalta). The client calls the clinic and asks the nurse why an antidepressant drug has been prescribed. What response by the nurse is best?
a. "A little sedation will help you get some rest."
b. "Depression often accompanies fibromyalgia."
c. "This drug works in the brain to decrease pain."
d. "You will have more energy after taking this drug."
ANS: C
Duloxetine works to increase the release of the neurotransmitters serotonin and norepinephrine, which reduces the pain from fibromyalgia. The other answers are inaccurate.
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A patient with suspected adrenal insufficiency has been administered 1 mcg of cosyntropin (Cortrosyn) as an IV bolus. Serum testing 30 minutes later reveals a markedly elevated level of cortisol
What conclusion should the nurse infer from this finding? A) The patient has normal adrenocortical function. B) The patient has primary adrenal insufficiency. C) The patient has secondary adrenal insufficiency. D) The patient has Addison's disease.
It is important for the clinician to ask the female patient about multiple sexual partners. It is known that multiple sexual partners increases patient risk for:
A. Human papilloma virus infection B. Endometriosis C. Uterine cancer D. Ovarian cysts
Following Centers for Disease Control and Prevention guidelines, which recommendation does the school nurse make to parents of middle-school children?
A) All males and females should begin the three-dose HPV vaccine between 12 and 14 years of age. B) All females should begin the three-dose HPV vaccine between 12 and 14 years of age. C) All males and females should begin the three-dose HPV vaccine between 10 and 12 years of age. D) All males should begin the three-dose HPV vaccine at age 9.
Managed care is gaining popularity. This rise in popularity is most often guided by which of the following considerations?
1. Concern for the quality of care 2. Means of controlling costs of care 3. Greater access to physicians 4. Allowance for early discharge