A woman with a history of several suicide attempts by overdose is found to have recurrent major depression. Given this patient's history and diagnosis, which of the following antidepressant medications would the nurse expect to be ordered?
a. Amitriptyline (Elavil), a sedating tricyclic medication
b. Desipramine (Norpramin), a stimulating tricyclic medication
c. Fluoxetine (Prozac), a selective serotonin reuptake inhibitor
d. Tranylcypromine sulfate (Parnate), a monoamine oxidase inhibitor
C
Selective serotonin reuptake inhibitor antidepressants are very safe in overdosage situations, which is not true of the other medications listed. Given this patient's history of overdosing, it is important that her medication be as safe as possible in case she takes an overdose of her prescribed medication.
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During an assessment, the nurse notes the postpartum client is experiencing intense shaking and chills. Based on this data which conclusion by the nurse is appropriate? Select all that apply
A) This is evidence of incomplete expulsion of the placenta. B) The client has a full bladder. C) This may be a reaction to maternal adrenal production during labor and birth. D) This may be a reaction to epidural anesthesia. E) The client has a fever from a postpartum infection.
Testing indicates that a patient has a high preload. What changes would the nurse expect in this patient's cardiac function?
1. Heart rate will decrease. 2. Afterload will increase. 3. Stroke volume will decrease. 4. Stoke volume will increase. 5. Blood pressure will decrease.
The nurse bathes an unconscious patient. Which action should the nurse implement to maintain infection control during a bed bath?
a. Use long strokes and lotion to massage both legs. b. Perform a complete assessment of the pa-tient's skin. c. Wash each eye carefully, rinsing all traces of soap. d. Soap the entire front of the patient's body and then rinse.
Clients from other countries who suffered traumatic oppression in their native country may develop PTSD. Which of the following is least helpful in dealing with their PTSD?
a. Assimilating quickly into the culture of their current country of residence. b. Engaging in their native religious practices. c. Maintaining a strong cultural identity. d. Social support from an interpreter or fellow countryman