An older client is exhibiting symptoms of major depressive disorder. A physician is considering prescribing an antidepressant. Which physiological problem should make a nurse question this medication regime?
1. Altered cortical and intellectual functioning
2. Altered respiratory and gastrointestinal functioning
3. Altered liver and kidney functioning
4. Altered endocrine and immune system functioning
3
Rationale: The nurse should question the use of antidepressant medication in a client with altered liver and kidney function. Antidepressant medication should be administered with consideration for age-related physiological changes in absorption, distribution, elimination, and brain receptor sensitivity. Because of these changes, medications can reach high levels despite moderate oral dosage.
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A patient's exposure to which of the following microorganisms is most likely to trigger a cellular response?
A) Herpes simplex B) Staphylococcus aureus C) Pseudomonas aeruginosa D) Beta hemolytic Streptococcus
The population health nurse is helping a client develop psychological flexibility. What actions should the nurse take to help this client? (Select all that apply.)
1. Mindfulness. 2. Develop coping skills. 3. Support effective parenting. 4. Attend programs outside of the home. 5. Acceptance and commitment therapy.
Which of the following children is in a high-risk family for less nurturing and more hurtful behavior?
a. a child being raised by grandparents b. a child who is forbidden from playing with other children c. a child being raised by two men d. a child in a nuclear family there both parents have full-time jobs
A 50-year-old client with breast cancer has had a double mastectomy. Which factor would influence this client's susceptibility to an infection?
A) Bronchovesicular breath sounds B) Dry skin C) Intact mucous membranes D) Susceptibility of the client