A nurse is admitting a client who has major depressive disorder and a new
prescription for tranylcypromine. Which of the following over-the-counter
... [Show More] medications
that the client reports taking should alert the nurse to a potential adverse reaction?
A. Lansoprazole
B. Naproxen
C. Magnesium hydroxide
D. Phenylephrine
D. Phenyleprine
Clients who are taking tranylcypromine, an MAOI antidepressant, should not take
phenylephrine and other over-the-counter medications for sinus congestion, colds, or
allergies due to their actions on the sympathetic nervous system, which can result in
severe hypertension
A nurse on a mental health unit observes a client who has acute mania hit another
client. Which of the following actions should the nurse take first?
A. Call the provider to obtain an immediate prescription for restraint.
B. Prepare to administer benzodiazepine IM.
C. Call for a team of staff members to help with the situation.
D. Check the client who was hit for injuries.
C. Call for a team of staff members to help with the situation
The greatest risk is injury to the client and others. Therefore, the first action the
nurse should take is to call for assistance to prevent further injury to themselves or
others.
A nurse is assessing a family's dynamics during a counseling session. The nurse
should recognize which of the following findings as an indication of a boundary
issue?
A. An adolescent family member who questions parental authority
B. A family with three generations in the same household
C. Older children who are responsible for their younger siblings
D. Two adults and their children from prior relationships in the same household
C. Older children who are responsible for their younger siblings
This is an example of enmeshed boundaries in which there are no distinctions
between the roles of family members
A nurse is assessing a client who had major depressive disorder and has been
receiving amitriptyline for 1 week. Which of the following outcomes should the nurse
expect?
A. Rapid improvement in affect within 30 to 60 min after taking the medication
B. Greater risk of attempting suicide as affect and energy improve
C. Onset of frequent, loose stools
D. Development of physiologic dependence on the medication
B. Greater risk of attempting suicide as affect and energy improve [Show Less]