An adult patient will begin taking atomoxetine [Strattera] for attention-deficit/hyperactivity disorder. What will the nurse teach this patient?
a. Appetite suppression does not occur, be-cause this drug is not a stimulant.
b. Stopping the drug abruptly will cause an abstinence syndrome.
c. Suicidal thoughts may occur and should be reported to the provider.
d. Therapeutic effects may not be felt for 1 to 3 weeks after beginning therapy.
D
Atomoxetine is a selective inhibitor of norepinephrine (NE) reuptake, and its effects probably are the result of adaptive changes that occur after uptake blockade, which can take 1 to 3 weeks. Appetite suppression is an adverse effect of this drug. Atomoxetine does not have abuse potential, and abstinence syndrome does not occur when it is withdrawn. Suicidal thoughts may occur in children and adolescents but not in adults.
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A patient with severe environmental allergies is scheduled for an immunotherapy injection. What should be included in teaching the patient about this treatment?
A) The patient will be given a low dose of epinephrine before the treatment. B) The patient will remain in the clinic to be monitored for 30 minutes following the injection. C) Therapeutic failure occurs if the symptoms to the allergen do not decrease after 3 months. D) The allergen will be administered by the peripheral intravenous route.
The nurse received orders to obtain a vaginal culture and start an antibacterial agent. The nurse should:
1. start the drug as ordered and take the culture within 6 hours of drug initiation. 2. obtain the vaginal specimen prior to starting the antibacterial agent. 3. obtain the specimen and add a label stating that the antibacterial agent was started 4 hours prior to collection. 4. delay initiation of the drug until the results have been returned from the laborato-ry.
Your client asks you a question about the duration of his chemotherapy. You do not know the appropriate answer. What is your best response?
1. "Your oncologist will go over all of this with you." 2. "Treatment will continue until the oncologist sees your tumor get smaller." 3. "Chemo isn't as scary as it seems. Don't worry and everything will be fine." 4. "I don't know, but I will be happy to see what I can find out for you."
All of the following are true about electronic records except
a. they are portable. b. they are less durable than paper charting. c. they are easily transferable. d. they are more durable than paper charting.