A nursing instructor is educating a class on the pharmacodynamics of psychiatric medications. The instructor determines that additional education is needed when the students identify which of the following as a site of action?

A) Receptor
B) Ion channels
C) Neurotransmitters
D) Enzymes


Ans: C
Psychiatric medications primarily target the central nervous system at the cellular synaptic level at four sites: receptors, ion channels, enzymes, and carrier proteins. Receptors respond to neurotransmitters, but neurotransmitters are not a site of action of medications.

Nursing

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Immediately after a client's death and before the body is moved to the mortuary, which of these actions should the nurse take?

a. Obtain permission for an autopsy. b. Cancel arrangements for hospice care. c. Administer palliative care. d. Give postmortem care.

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A client with heart failure is prescribed enalapril (Vasotec). What is the nurse's priority teaching for this client?

a. "Avoid using salt substitutes." b. "Take your medication with food." c. "Avoid using aspirin-containing prod-ucts." d. "Check your pulse daily."

Nursing

A nurse assesses a patient who reports a 3-week history of depression and periods of uncontrolled crying. The patient says, "My business is bankrupt, and I was served with divorce papers."

Which subsequent statement by the patient alerts the nurse to a concealed suicidal message? a. "I wish I were dead." b. "Life is not worth living." c. "I have a plan that will fix everything." d. "My family will be better off without me."

Nursing

Enteral therapy has been initiated on a client who is now exhibiting nausea and vomiting. Based on this information, what conclusion does the nurse reach regarding the nausea and vomiting?

1. It is caused by irritation of the gastric tube along the stomach serosa. 2. It is caused by an allergic reaction to the feeding. 3. It is caused by the type or amount of feeding. 4. It is caused by a viral agent common to clients with feeding tubes.

Nursing