When treating a pregnant client with SSRIs, the nurse should be aware that of all the SSRIs, the only specific SSRI that is listed as a category D agent (positive evidence of risk during pregnancy) is:

a. fluoxetine (Prozac)
b. sertraline (Zoloft)
c. paroxetine (Paxil)
d. citalopram (Celexa)


C
At this time, only paroxetine (Paxil) has demonstrated positive evidence of risk during pregnancy. All other SSRIs are category C agents (risk during pregnancy cannot be ruled out).

Nursing

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A child is prescribed gentamycin (Garamycin) and develops acute kidney injury. Which etiology is the most likely cause of the child's acute kidney injury?

A. Intrarenal B. Postrenal C. Prerenal D. Streptococcal

Nursing

In an observational study of manifestations of various categories of sundowning behavior in hospitalized super-elders, which of the following are true? (Select all that apply.)

a. Checklists based on a rating scale would be helpful ways to record behaviors. b. Rating scales of 1-absent, 2-slight, 3-moderate, and 4-severe could be used. c. A category system should be developed before the study begins. d. The patient's assessment of whether or not he is sundowning is valuable. e. There should be no overlap of the categories "confused, placid" and "confused, agitated." f. Research assistants observing the patients should be given similar training. g. Observations should be made under similar circumstances.

Nursing

Which action would increase the control of an experimental study?

a. Establishing strict criteria for subject selection b. Allowing participants to decide whether or not to be in the experimental group c. Ensuring that subjects do not know the purpose of the experimental study d. Increasing the number of assistants involved in data collection

Nursing

The nurse is caring for a teenage girl with a new ileostomy. She tells the nurse tearfully that she cannot go to the prom with an ostomy. Which is the nurse's best response?

a. "You should get your prom dress one size larger to hide the ostomy appliance." b. "You should avoid broccoli and carbo-nated drinks so that the pouch won't fill with air under your dress." c. "Let's talk to the enterostomal therapist (ET) about options for ostomy supplies and dress styles so that you can look beautiful for the prom." d. "You can remove the pouch from your ostomy appliance when you are at the prom so that it is less noticeable."

Nursing