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nursing 205 exam 2 hondro Questions and answers latest update
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nursing 205 exam 2 hondro Questions and answers latestupdate
The patient with major depression and suicidal ideation has been taking
bupropion(wellbutrin) 100 mg PO four times daily for 5 days. Assessment reveals the
patient to be somewhat less withdrawn, able to perform activities daily living with
minimal assistance and eating 50% of each meal. At this time, the nurse should
monitor the patient specifically for which of the following behaviors? Select all that
apply - ANSWER Suicide attempts
Decrease in reports of sadness
The patient with depression who is taking imipramine(Tofranil) states to the nurse,
"My doctor wants me to have an ECG in 2 weeks, but my heart is fine." Which
response by the nurse is most appropriate? - ANSWER It's routine practice to have
ECGs periodically because there is a slight chance that the drug may affect the
heart.
A patient who is taking Doxepin(Sinequan) 10 mg PO at bedtime has dizziness on
arising. Which of the following suggestions is most appropriate? - ANSWER "Get up
slowly and dangle your feet before standing."
The primary healthcare provider prescribes mirtazapine (Remeron) 30 mg PO at
bedtime for a depressed patient. The nurse should? - ANSWER Give medication as
prescribed
The patient diagnosed with major depression has been taking Lexapro
(Escitalopram) 10 mg daily for the past 2 weeks. Which of the following parameters
should the nurse monitor most closely at this time? - ANSWER Suicidal ideation
YOu are instructed to give cephalexin monohydrate (Keflex) 0.5 g. The drug comes
as 250 mg per capsule. How many capsules would the nurse give? - ANSWER 2
If the patient is to receive insulin at 3 units/hr with a solution of 50 units per 100 ml is
normal saline (NS)the rate of infusion in milliliters would be? - ANSWER 6
The nurse notes that a patient who has been receiving paroxetine(paxil) for
symptoms of major depression and whose sensorium had been clear, begins to
behave as though somewhat confused and elated. The nurse also notes the
presence of restlessness, muscle jerking and diaphoresis. The nurse should assess
these symptoms as probable? - ANSWER Serotonin Syndrome
When following up on ssri medication side effects, the nurse will need to make
specific inquires about? - ANSWER Sexual dysfunction
, A patient who is taking SSRIs mention to the nurse that his current medication
causes fewer side effects than the TCA he took several years earlier. THe nurse
understands that SSRIs advantage is due to? - ANSWER Blocking only serotonin
What would be a priority nursing diagnosis for a patient taking zolpidem(Ambien)? -
ANSWER Disturbed Sleep pattern
A patients is taking Sertraline(Zoloft). The nurse explains to the patient that how
much time will pass before the onset of the medication occurs? - ANSWER 1-2
weeks
A patient has been taking #0 mg of duloxetine hydrochloride (Cymbalta)twice daily
for 2 months because of depression and vague aches and pains. While interacting
with the nurse, the patient disclosed a pattern of drinking a six pack of beer daily for
the past 10 years to help with sleep. What should the nurse do first? - ANSWER
Report the patient's beer consumption to the primary healthcare provider.
Which patient complaint should receive priority from a patient who is taking
tranylcypromine(Parnate)? - ANSWER "I've had a headache ever since i drank
some coffee."
Sertraline(Zoloft) has been prescribed for a patient with symptoms of major
depression. which factor was probably most important in the physician's decision to
use an SSRI? - ANSWER Good side effect profile
Which statement by a patient who will be maintained on lithium following discharge
should the nurse evaluate as evidence of a need for further instruction? - ANSWER
"When I get home, I may go on salt-free diet."
To understand what to expect following administration of a benzodiazepine, the
nurse must understand that benzodiazepine? - ANSWER Enhances the activity of
GABA
A patient was prescribed alprazolam(Xanax) for symptoms of anxiety related to a
recent divorce and relocation She stated to the nurse, "A little while after I take the
medication , I feel out of it and spacey." What is the likely cause of this feeling? -
ANSWER Rapid absorption and distribution to brain cells
An individual with post stroke depression is receiving a CNS stimulant. What is the
rationale for giving the medication at breakfast and again at midday? - ANSWER
Prevent Insomnia
A patient was admitted to the inpatient unit 3 days ago with a flat affect ,psychomotor
retardation, anorexia, hopelessness and suicidal ideation. The primary healthcare
provider prescribed 75mg of venlafaxine extended release (Effexor XR) to be given
every morning. The patient interacted minimally with the staff and spent most of the
day in his room. As the nurse enters the unit at the beginning of the evening shift, the
patient is smiling and cheerful and appears to be relaxed. What should the nurse
interpret as the most likely cause of the patients behavior? - ANSWER The patient's
sudden improvement calls for close observation by the staff
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