Priority assessments for a patient beginning amitriptyline (Elavil) include
a. nausea, diarrhea, and irritability.
b. seizures, agranulocytosis, and insomnia.
c. headache, sexual dysfunction, and weight loss.
d. history of falls, arrhythmias, and blurred vision.
D
Tricyclic antidepressants (TCAs) produce anticholinergic (blurred vision) and antiadrenergic (orthostatic hypotension leading to falls and arrhythmias) side effects. Gastrointestinal symptoms, sexual dysfunction, and weight variations are related to selective serotonin reuptake inhibitor (SSRI) therapy. Seizures are seen with bupropion therapy. Agranulocytosis is not considered a major problem with any of the groups of antidepressants.
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The perinatal nurse explains to a nursing student that perinatal loss occurs when a woman's baby is lost during what time period?
A. Any time during the first year of life B. From conception through birth C. From conception through the first 28 days after birth D. During labor or delivery
During a follow-up prenatal visit, a pregnant woman asks the nurse, "How long do you think I will be in labor?" Which response by the nurse would be most appropriate?
A) "It's difficult to predict how your labor will progress, but we'll be there for you the entire time." B) "Since this is your first pregnancy, you can estimate it will be about 10 hours." C) "It will depend on how big the baby is when you go into labor." D) "Time isn't important; your health and the baby's health are key."
Select the reason why terbinafine (Lamisil) is contraindicated for patients taking tricyclic antidepressants, selective serotonin reuptake inhibitors, beta-blockers, and antiarrhythmics.
A. These drugs are metabolized through the enzyme system and does not let terbinafine inhibit the system. B. These drugs are metabolized through the enzyme system inhibited by terbinafine. C. These drugs increase the rate of metabolism of terbinafine, thereby decreasing its effectiveness. D. None of these are correct.
The nurse comes into the room of a child who was just diagnosed with a chronic disability. The child's parents begin to yell at the nurse about a variety of concerns. The nurse's best response is:
a. "What is really wrong?" b. "Being angry is only natural." c. "Yelling at me will not change things." d. "I will come back when you settle down."