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withdrawn, able to perform activities daily living with minimal assistance and eating 50% of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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