A woman who is pregnant tells an NP that she has been taking sertraline for depression for several years but is worried about the effects of this drug on her fetus. The NP will consult with this patient's psychiatrist and will recommend that she:
a. stop taking the sertraline now.
b. continue taking the antidepressant.
c. change to a monoamine oxidase inhibitor (MAOI).
d. discontinue the sertraline a week before delivery.
B
Many women are taking medication for depression before becoming pregnant. Abrupt discontinuation is not recommended, and many clinicians suggest that women at high risk for serious depression during pregnancy might best be served by continuing medication throughout pregnancy. MAOIs may limit fetal growth and are generally discouraged during pregnancy. It is not necessary to discontinue the sertraline just before delivery.
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A client has a traumatic brain injury and a positive halo sign. The client is in the intensive care unit, sedated and on a ventilator, and is in critical but stable condition. What collaborative problem takes priority at this time?
a. Inability to communicate b. Nutritional deficit c. Risk for acquiring an infection d. Risk for skin breakdown
A client diagnosed with asthma has not responded well to medication. The client is concerned and asks the nurse, "What is wrong with me, and why am I not getting better?" What is the nurse's best response?
a. "You just weren't used to the medication yet." b. "The medication dose has to be in-creased." c. "It is possible that genetic testing may help." d. "You should try homeopathic medicine."
The right time refers only to an absolute time
Indicate whether the statement is true or false
A health care organization is investigating a new computerized documentation system. Which question by nursing management would address a source of work-related distress in nurses related to documentation?
a. "How can we ensure the nurses get adequate training or updates?" b. "How can we make these computerized units more portable?" c. "How much more accurate and complete will this charting be?" d. "How will this system save my nurses time when documenting?"