A nurse is checking on her patients during the night shift. One of the patients admitted with major depression complains of insomnia
The nurse should notify the patient that she will discuss the insomnia with the prescriber, but she suspects that the prescriber may order which of the following drugs?
a. Venlafaxine (Effexor)
b. Mirtazapine (Remeron)
c. Bupropion (Wellbutrin)
d. Phenelzine (Nardil)
ANS: B
Mirtazapine may cause somnolence and aid sleeping, because it has an increased release of serotonin.
Venlafaxine may actually contribute to the patient's insomnia and therefore would not be recommended for this patient.
Bupropion has the side effects of agitation, excitability, and insomnia and therefore would not be recommended for this patient.
Phenelzine can cause insomnia as a side effect and therefore would not be recommended for this patient.
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