The nurse working with depressed clients taking tricyclic antidepressants must keep in mind which of the following in planning and implementing care?
a. Blood dyscrasias are extremely common, and blood work must be monitored carefully.
b. Severe food and drug interactions are common, so special dietary instructions must be given.
c. Hypertensive crisis can occur anytime when a client is taking tricyclics.
d. These medications are dangerous in overdose, and clients must be monitored for suicidal ideation.
D
When planning and implementing care for a client taking tricyclic antidepressants, the nurse must keep in mind that these medications are dangerous in overdose, and clients must be monitored for suicidal ideations. As the medication helps improve the client's mood, there is an increase energy level, which could be used to commit suicide.
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A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a
A) higher-than-normal dose. B) lower-than-normal dose. C) child's dose. D) weight-based protocol dose.
Of the following hospital situations, which one demonstrates the need for further action and improved policies to maintain the confidentiality of client medical information?
A) The nurse logs off the computer after accessing the laboratory record of a client. B) Reports of client radiology tests are faxed to a fax machine that is shared by the payroll department of the hospital. C) Employees who have expired passwords for computer access must contact their supervisor for permission to obtain new passwords from the information technology department. D) A physician is given a password to access computerized client records. The information technology department keeps record logs of when and who has accessed the client records.
A patient tells the nurse that she doesn't wash her hands very much because the skin on her hands is dry and cracked. Which of the following should the nurse instruct this patient?
1. Use a hand lotion with high fat or oil content to protect the skin. 2. Wash hands with cold water instead. 3. Wash hands with hot water instead. 4. Wash hands without soap.
Which statement made by a new mother would indicate to the nurse that there is potential for lowered self-esteem due to role ambiguity?
1. "I don't know if I know how to be a mom." 2. "My husband will be a stay-at-home dad while I work." 3. "I'm so disappointed that this baby is not a girl." 4. "I haven't even finished the baby's room."