The nurse caring for a client taking SSRIs will develop evaluation parameters and outcome criteria
related to
a. mood improvement.
b. logical thought processes.
c. reduced levels of motor activity.
d. increased extrapyramidal symptoms.
ANS: A
SSRIs affect mood, relieving depression in many cases. Option B: SSRIs do not act to reduce
thought disorders. Option C: SSRIs reduce depression but have little effect on motor hyperactivity.
Option D: SSRIs do not produce extrapyramidal symptoms.
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The nurse is caring for a client who consistently pulls at the IV and urinary catheter. Restraints are applied that prevent the client from being able to grasp the tubing. Which term will the nurse use when documenting the restraints used for this client?
1. Jacket restraint 2. Limb restraint 3. Mitt restraint 4. Waist restraint
The nurse is providing care to a client who is a victim of interpersonal violence. Which interventions are appropriate for this client? Select all that apply
A) Educating the client on how to avoid future incidents of violence B) Distracting the client to avoid overwhelming feelings about the situation C) Using a supportive, nurturing approach D) Helping the client identify intra- and interpersonal strengths E) Maintaining objectivity and offering short, to-the-point responses
A patient is receiving hydroxyzine (Vistaril) for complaints of nausea and vomiting. Consider the following adverse effects of the drug, and select the one that is most significant
a. Excessive salivation b. Increased pulse c. Decreased respiratory rate d. Sedation
A client who weighs 90 kg and had a 50% burn injury at 10 AM arrives at the hospital at noon. Using the Parkland formula, calculate the rate that the nurse should use to deliver fluid when the IV is started at noon
What will be an ideal response?