You have been asked to explain to tell a patient about the common side effects that he should report while taking SSRIs. Which of the following should be included in the reportable side effects?
A. Headache and nervousness
B. Loss of appetite and nausea
C. Excessive agitation and seizures
D. All of the above
Answer: D
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A nurse plans care for a client who has chronic obstructive pulmonary disease and thick, tenacious secretions. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Ask the client to drink 2 liters of fluids daily. b. Add humidity to the prescribed oxygen. c. Suction the client every 2 to 3 hours. d. Use a vibrating positive expiratory pressure device. e. Encourage diaphragmatic breathing.
During your assessment of a patient for doll's eyes phenomenon, you observe that the patient's eyes remain fixed. This response most likely indicates
a. a normal finding. c. injury to cranial nerves III, IV, and VI. b. damage to the lower brainstem. d. hematoma formation behind his eyes.
Which nursing diagnosis would be MOST appropriate for the client with diabetes insipidus?
a. Body image disturbance related to physical changes b. Fluid volume deficit related to polyuria c. Risk for infection related to chronic steroid therapy d. Altered nutrition, less than body requirements, related to imbalance between insulin, diet, and activity
A nurse wants to establish a program to decrease the death rate among adolescents. Which of the following programs should be developed?
a. Anti-alcohol program b. Anti-smoking program c. Careful driving program d. Safe sex program