Study test II

The primary healthcare provider prescribed imipramine to a client with depression. Which adverse effects would the nurse anticipate in the client? Select all that appl

Skin rash Photosensitivity blood dyscrasias

After reviewing the data of a client with depression, the primary healthcare provider decided not to prescribe bupropion. Which statements made by the client would support the decision? Select all that apply.

"I have a history of epilepsy." "I have a history of congestive heart failure." "I have recently been diagnosed with anorexia nervosa."

The nurse is providing instructions to a client who is on isocarboxazid for depression. Which statements made by the client indicate effective learning? Select all that apply.

"I will include yogurt in my diet." I will avoid pepperoni in my diet." "I will include cream cheese in my diet." "I will avoid fermented bean curds in my diet."

A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would indicate the task is applicable for the registered nurse?

"Teach the client how to use a meter dose inhaler"

A client scheduled to begin electroconvulsive therapy (ECT) to treat severe depression that has not responded to any of the antidepressant medications tells the nurse, "I'm scared that I'll lose my memory forever after the treatment." What is the most therapeutic response by the nurse?

"You'll experience a temporary loss of memory, and feeling frightened about it is expected."

While conducting an assessment, the nurse finds that the client shivers uncontrollably and experiences memory loss, depression, and poor judgment. What might the client's body temperature be?

33

A primary healthcare provider diagnoses chronic low-grade depression in a client. Which drug may be prescribed for this client?

Amitriptyline

A nurse is caring for a client who is experiencing major depression. What feeling should the nurse anticipate that the client will likely have difficulty expressing?

Anger toward others

Which priority assessments should be included by the nurse when caring for a client who is experiencing depression? Select all that apply.

Appetite Activity status Emotional status

The nurse noticed increased blood pressure in a client on treatment for depression. Which antidepressant drug does the nurse ask the primary healthcare provider to reconsider?

Bupropion

A nurse is caring for a primigravida during labor. At 7 cm of dilation a prescribed pain medication is administered. Which medication requires monitoring of the newborn for the side effect of respiratory depression?

Butorphanol

Four clients are admitted to a hospital with different symptoms associated with depression. Which client would benefit from mirtazapine?

Client 2

A client with a history of smoking is suspected of having depression. The primary healthcare provider prescribes a drug that would be beneficial in treating depression and would aid in smoking cessation. Which adverse effects would the nurse suspect in this client? Select all that apply.

Confusion tachycardia

Which drug is used to treat both generalized anxiety disorder and depression?

Duloxetine

What treatment should a nurse anticipate will be prescribed for a client with severe, persistent, intractable depression and suicidal ideation?

Electroconvulsive therapy

A client is admitted to the psychiatric service with a diagnosis of severe depression. When approached by the nurse, the client says, "You know I'm a sorry, lazy person. I don't deserve a job. I'm just stupid and no good." What does the nurse conclude that the client is experiencing?

Feelings of self-deprecation

What characteristics are commonly associated with adolescent depression? Select all that apply.

Having suicidal ideation Exhibiting tearfulness Avoiding previously enjoyed activities and relationships

The nurse is caring for a client who self-identifies as having a strong Hispanic heritage. According to transcultural nursing researchers, what should the nurse ask when assessing a woman with depression for the risk of self-harm who also identifies as having Hispanic ethnicity?

How do you express yourself when you're angry?"

Which symptoms of depression, often overlooked in the older adult client, should the nurse include in the assessment process? Select all that apply.

Insomnia General fatigue

A client is found to have an adjustment disorder with mixed anxiety and depression. What should the nurse anticipate as the client's primary problem?

Low self-esteem

A client with parkinsonism is taking an anticholinergic medication for morning stiffness and tremors in the right arm. During a visit to the clinic, the client complains of some numbness in the left hand. What is the nurse's priority intervention?

Make arrangements immediately for further medical evaluation by the client's primary healthcare provider.

An 80-year-old client with depression requires the prescription of antidepressant drugs. Which tricyclic antidepressant drug is appropriate?

Nortriptyline

A breastfeeding mother requires treatment for depression. Which drug would be safe to use if the mother wishes to continue breastfeeding the newborn?

Paroxetine

A client is admitted with the diagnosis of borderline personality disorder and possible depression. The client has a history of abusive acting-out behavior. What is most important to assess when caring for this client?

Potential for suicide

A client diagnosed with depression is prescribed phenelzine. Which foods, if consumed along with this drug, may cause a hypertensive crisis? Select all that apply.

Red wine aged meat aged cheese

An older client with depression is prescribed a tricyclic antidepressant. What is the priority nursing intervention in this situation?

Requesting that the physician change the drug

The nurse finds that a client prefers Reiki to antidepressants for treating depression. Which intervention of the nurse indicates open-mindedness?

Respecting the client's preference

A child undergoing drug treatment develops hyperthermia, acidosis, and respiratory depression. Which type of drug would be responsible for the condition?

Salicylates

Which drug would the nurse administer transdermally to treat a client with major depression?

Selegiline

Considering the anticholinergic-like side effects of many of the psychotropic drugs, the nurse will encourage clients taking these drugs to take which action?

Suck on sugar-free hard candies.

A client is experiencing diplopia, ptosis, and mild dysphagia. Myasthenia gravis is diagnosed, and an anticholinergic medication is prescribed. The nurse is planning care with the client and spouse. What instruction is the priority?

Take the medication according to a specific schedule.

A client who was forced into early retirement is found to have severe depression. The client reports feeling useless and having nothing to do. What would be the nurse's best initial response?

Tell me more about feeling useless.

A client with depression was prescribed fluoxetine. After two days, the client arrives at the hospital and reports restlessness, confusion, and poor concentration. Upon assessment, the nurse finds an elevated body temperature. Which intervention by the healthcare provider would be beneficial to the client?

Withdrawing the drug

An adolescent has pinpoint pupils, respiratory depression, and cyanosis. Upon assessment, the school nurse observes needle marks on arms and legs. Which drug is the adolescent probably abusing?

narcotics

A client is not responding to antidepressant medications for treatment of major depression with suicidal ideation. After learning about electroconvulsive therapy (ECT), the client discusses the advantages and disadvantages with the primary nurse. The nurse concludes that the client understands the disadvantages of ECT when the client states that what is one major disadvantage of ECT?

Memory is impaired after the treatment.

A client on bupropion therapy for depression experiences seizures. Which actions of the primary healthcare provider are used to reduce the risk for seizures? Select all that apply.

Discouraging rapid dose titration Avoiding administration of the medication with paroxetine Avoiding concomitant use of fluoxetine with the medication

The registered nurse instructed the nursing student to care for a client who suffers from depression. During a follow up visit, the registered nurse finds that the client's symptoms have not improved. Which activity of the nursing student would the registered nurse relate this to?

Discouraging social interaction to avoid the client's distraction from outside environment

Which medication used to treat urinary incontinence strengthens the urinary sphincters and has anticholinergic action?

Duloxetine

A client is admitted to the mental health unit because of a progressively increasing depression over the past month. What clinical finding does a nurse expect during the initial assessment of the client?

Diminished verbal expression caused by a slowed thought process

A client with schizophrenia who is receiving an antipsychotic medication begins to exhibit a shuffling gait and tremors. The primary healthcare provider prescribes the anticholinergic medication benztropine, 2 mg daily. What will the nurse assess the client for daily when administering these medications together?

Constipation

The nurse is assisting the primary healthcare provider, who is examining the client's skull radiograph. An abnormality in the endocrine gland situated in a depression of the sphenoid bone is suspected. Which hormone release is most probably affected?

Corticotropin

An adolescent having premenstrual syndrome displays pelvic fullness, irritability, depression, fatigue, and backaches. What instructions should the nurse provide to the adolescent to help obtain relief? Select all that apply.

Do aerobics 3 to 4 times a week. Follow stress reduction techniques. Take NSAIDs or progesterone. Eat food rich in complex carbohydrates and fiber in three small portions.

Which statements regarding the use of selegiline to treat depression are true? Select all that apply.

Oxcarbazepine significantly raises the level of selegiline. The most common adverse reaction of selegiline is a localized rash. Transdermal selegiline is the only transdermal treatment for major depression.

A client is admitted with bipolar disorder, depressed episode. The nursing history indicates a progressive increase in depression over the past month. What should the nurse expect the client to display?

Paucity of verbal expression related to slowed thought processes

A lactating woman who reports a loss of interest in daily activities, loss of appetite, and sleeplessness is diagnosed with depression. What would be the drug of choice for this client if she wishes to continue breast-feeding?

Sertraline

A new mother is diagnosed with depression. Which antidepressant may be prescribed to this client?

Sertraline

Which assessment finding is associated with depression?

The client has islands of intact memory.

A nursing student is listing the steps that need to be followed for applying developmental theory when caring for chronically ill older adults with depression. Which step listed by the nursing student needs correction?

"The nurse should recognize the need to identify depression so that heart failure can be prevented."

A client with posttraumatic stress disorder is admitted for depression and medication management. On the second night of hospitalization, the client awakens from a nightmare and begins threatening to strangle the roommate for "coming at me with that knife you've got hidden." Place the following nursing interventions in the appropriate order to best ensure client and milieu safety.

1. Remove roommate from the room 2.Remain with the client until the agitation is under control 3 Arrange for antianxiety medication to be administered as prescribed 4Arrange for a private room the near nurses' station 5 Institute homicide precautions at night

A client is admitted to the psychiatric unit for severe depression with the potential for suicide. What is the most therapeutic nursing intervention when the client becomes more energized and communicative?

Continuing to assess the client at regular intervals

A client is diagnosed with myasthenia gravis, and the anticholinesterase medication pyridostigmine is prescribed. When teaching the client about this medication, the nurse explains to expect an increase in what function?

Contraction of skeletal muscles

A lactating woman takes fluoxetine to treat depression. Her newborn developed tremors, seizures, and fever. Which drug-induced physiologic alterations may be responsible for the central nervous system effects of the drug on the neonate?

Immature blood-brain barrier

A client on treatment for depression visited the primary healthcare provider with a complaint of blurred vision and constipation. Which drugs are responsible for these adverse effects? Select all that apply.

Phenelzine Amoxapine Maprotiline Desipramine Amitriptyline

A client with chronic depression has a history of suicidal ideations. Place the following nursing assessment questions in the appropriate order to best ensure client safety.

"Are you thinking about hurting yourself?" "Have you decided upon a plan to harm yourself?" ."What is your plan for killing yourself?" ."How would you get what you need to end your life?"

A registered nurse provides dietary instructions to a client who is prescribed isocarboxazid for depression. Which statements made by the client indicates a need for further education? Select all that apply.

"I will limit my intake of fish." "I will limit my intake of yogurt." "I will limit my intake of beer."

A client has been hospitalized for 3 weeks while receiving a tricyclic medication for severe depression. One day the client says to the nurse, "I'm really feeling better; my energy level is up." After the encounter an aide tells the nurse that the client has given away a favorite jacket. What should the nurse conclude that the client's statement indicates?

Increased risk for suicide

An older client is admitted to the hospital with the diagnosis of dementia of the Alzheimer type and depression. Which signs of depression does the nurse identify? Select all that apply.

Increased appetite Neglect of personal hygiene "I don't know" answers to questions "I can't remember" answers to questions