NR 293 EXAM 2 A patient diagnosed with depression tells the RN "I want to try supplementing my selective serotonin reuptake inhibitor with St. John's wort. What action would the nurse take first? A. assess the patient for depression and risk for suicide B. suggest the patient decrease the antidepr...
a patient diagnosed with depression tells the rn i want to try supplementing my selective serotonin reuptake inhibitor with st johns wor
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NR 293
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A patient diagnosed with depression tells the RN "I want to try supplementing my selective
serotonin reuptake inhibitor with St. John's wort. What action would the nurse take first?
A. assess the patient for depression and risk for suicide
B. suggest the patient decrease the antidepressant dose
C. advise the patient of the danger of serotonin syndrome
D. suggest that aromatherapy may produce better results
A patient experiences a sudden episode of severe anxiety. Of these medications in the medical
record, which is most appropriate to give as a PRN anxiolytic?
A. desipramine
B. buspirone
C. lorzepam
D. amitriplyline
Which medication from the MAR should an RN administer to provide immediate intervention
for a psychotic patient whose aggressive behavior continues to escalate despite verbal
intervention?
A. lithium
B. trazodone
C. olanzapine
D. valproic acid
The RN is caring for a client who is taking lithium for the treatment of bipolar disorder. The
client's most recent lab findings reveal a serum lithium level of 1.4 mEq/L. What assessment
findings should the nurse attribute to the client's lithium level?
A. the client is lethargic and weak
B. lung auscultation reveals rales, and the client is SOB on exertion
C. RN observes personality change, and the client is disoriented to time
D. the client has decreased bowel sounds and has had no BM in 3 days
A client's medication has been changed to clozapine. What lab should the nurse check before
administering the first dose of the medication?
A. C reactive protein
B. potassium
C. BUN
D. WBC
, A client's thought disorder has been treated with haloperidol. What adverse effect should the
nurse most closely monitor for the client?
A. bradycardia
B. extrapyramidal effects (EPS)
C. hypotension
D. SOB
Which of the following foods should be avoided by a patient taking an MAOI due to increasing
the risk of a hypertensive crisis?
A. bananas
B. grapefruit
C. raisins
D. cheese
The RN recognizes which of the following symptoms as a sign of lithium toxicity?
A. yellow vision
B. increased bruising
C. ringing of the ears
D. hypotension
The RN questions the order for which classification of med when prescribed for a suicidal
patient?
A. antipsychotic
B. SSRI
C. MAOI
D. tricyclic antidepressant
Which of the following teaching points is important to include when educating a patient
recently prescribed an antidepressant medication?
A. "you will get an EKG before the med is started"
B. "the med may take 2-4 weeks to work"
C. "you will require frequent blood draws"
D. "avoid pickled foods when taking this med"
A patient who has a history of type 1 diabetes is in need of enteral nutrition. Which enteral
formulation does the nurse anticipate administering to this patient?
A. Ensure
B. Glucerna
C. Polycose
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