The use of SSRIs in the treatment of depression in children and adolescents is:
a. strongly warned against due to increased incidence of suicidal ideation and attempts
b. much more beneficial than individual or group psychotherapy
c. strongly advocated due to high degree of efficacy coupled with few adverse effects
d. considered a first-line treatment option
A
The use of SSRIs is strongly warned against when treating children with depression due to the increased incidence of suicidal ideation and attempts. While the focus of studies concerning this has been paroxetine (trade name Paxil), there is evidence that there may be an increased risk for almost all SSRIs, except possibly fluoxetine (Prozac).
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The provider requests the nurse start an infusion of an inotropic agent on a client. How does the nurse explain the action of these drugs to the client and spouse?
a. "It constricts vessels, improving blood flow." b. "It dilates vessels, which lessens the work of the heart." c. "It increases the force of the heart's contractions." d. "It slows the heart rate down for better filling."
Which action demonstrates appropriate management regarding legal issues?
A) Remains current on all institutional policies and procedures B) Delegates with consideration to appropriate scopes of practice C) Requires physical proof of appropriate professional licensure each year D) Provides yearly in-services on the operation of newly acquired equipment
Which of the following provides the best practice for the graduate nurse in the administration and regulation of intravenous fluids to clients?
A) Nursing supervisor B) The physician C) Nursing instructor D) State licensing board
The mother of a hospitalized child reports that her daughter, who is having some difficulty eating, just had a 4-ounce cup of ice chips. The nurse documents this on the child's intake flow sheet as which of the following?
A) 2 ounces B) 4 ounces C) 6 ounces D) 8 ounces