QUESTIONS WITH SOLUTIONS GRADED A+
◉ 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