A nurse caring for a patient taking a serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to:
a. mood improvement
b. logical thought processes
c. reduced levels of motor activity
d. decreased extrapyramidal symptoms
ANS: A
SSRIs affect mood, relieving depression in many patients. SSRIs do not act to reduce thought disorders. SSRIs reduce depression but have little effect on motor hyperactivity. SSRIs do not produce extrapyramidal symptoms.
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A nurse is caring for a patient who has had major abdominal surgery. The postsurgical nurse is aware that the postoperative plan of care should include:
A) Providing passive range of motion, assisting the patient with coughing and deep breathing as needed, and increasing mobility by helping the patient sit on the side of the bed every day. B) Assessing bowel sound every 8 hours, offering medications as ordered, and allowing the patient privacy and security. C) Managing the patient's pain, working with the patient to cough and deep breathe every 2 hours, turning the patient frequently, exercising, and ambulating as early as possible. D) Allowing the patient to visit with family, allowing time for rest and reflection, and then have the nursing assistant provide a sponge bath while the nurse begins the discharge teaching process.
The nurse is assessing the neurological status of a patient with chronic renal failure. Which of the following is the nurse most likely to assess in this patient?
1. weak hand grasps 2. expressive aphasia 3. flaccid paralysis 4. numbness and pain of the lower extremities
Which are associated with both mineral deficiencies and toxicities?
A) Iron in hemosiderosis and hemochromatosis B) Iodine in goiter and myxedema C) Zinc in hypogonadism and delayed wound healing D) Copper in Menkes and Wilson diseases
The client is experiencing a sinus dysrhythmia with a pulse rate of 82 beats per minute. On entering the client's room, which of the following does the nurse expect to find?
a. The client is extremely fatigued. b. The client is complaining of chest pain. c. The client is experiencing a "fluttering" sensation in the chest. d. The client is not experiencing any clinical symptoms based on the assessment.