A depressed patient prepares for discharge. The patient is prescribed desipramine (Norpramin) and will have outpatient visits. The patient reports, "They gave me only a 1-week supply of my medicine." Select the nurse's best reply
a. "Federal law limits the amount you may be given at any one time."
b. "It will save you money if the drug doesn't work well for your symptoms."
c. "This is a way of ensuring that you will come in for your follow-up appointment."
d. "Prescribing a small amount of drug addresses our concerns for your continuing safety."
D
Desipramine is an activating antidepressant, and it might provide a patient who has suicidal ideation with the energy to make an attempt. Because the therapeutic dose and lethal dose are not widely separated, TCA overdose is an often-used suicide plan. Because desipramine appears to be the most toxic TCA, prescribing only a 7-day supply limits the possibility of using the drug in a suicide attempt. The other options are either less relevant or incorrect.
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A hospitalized 3-year-old needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. The most appropriate nursing diagnosis is:
1. Ineffective Individual Coping related to an invasive procedure. 2. Anxiety related to anticipated painful procedure. 3. Fear related to the unfamiliar environment. 4. Knowledge Deficient of the procedure.
The campus nurse at a university is assessing a 21-year-old student who presents with a severe nosebleed. The site of bleeding appears to be the anterior portion of the nasal septum
The nurse instructs the student to tilt her head forward and the nurse applies pressure to the nose, but the student's nose continues to bleed. Which intervention should the nurse next implement? A) Apply ice to the bridge of her nose B) Lay the patient down on a cot C) Arrange for transfer to the local ED D) Insert a tampon in the affected nare
The framework and conceptual map for a study:
a. are always included in the study report. b. are usually clearly identified in the report. c. often must be inferred by the reader from the text of the report. d. should be referred to only at the end of the study.
The term used to describe preconceptions and feelings about a phenomena is called:
A. coding. B. ethnography. C. bracketing. D. lived experience.