A middle-aged patient was diagnosed with major depression after a suicide attempt several months ago and has failed to respond appreciably to treatment with SSRIs. As a result, his psychiatrist has prescribed phenelzine. When planning this patient’s subsequent care, what nursing diagnosis should the nurse prioritize?
A. Risk for Injury related to drug–drug interactions or drug–nutrient interactions
B. Risk for Constipation related to decreased gastrointestinal peristalsis
C. Risk for Ineffective Peripheral Tissue Perfusion related to cardiovascular effects of phenelzine
D. Risk for Infection related to immunosuppressive effects of phenelzine
A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?
A. A 20-year-old woman who will take the drug about once a week
B. A 46-year-old man who receives an antidepressant and needs a sleep aid
C. A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep
D. A 52-year-old woman who needs to fall asleep quickly and stay asleep all night
A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies
A. drug tolerance.
A postsurgical patient has been provided with a morphine patient-controlled analgesic (PCA) but has expressed her reluctance to use it for fear of becoming addicted. How can the nurse best respond to this patient’s concerns?
A. “It is not uncommon to develop a dependence on pain medications, but this usually takes place over a long period and is not the same as addiction.”
B. “You don’t need to worry. It’s actually not true that you can get addicted to the medications we use in a hospital setting.”
C. “It’s important that you accept that your current need to control your pain is more important than fears of becoming addicted.”
D. “If you do become addicted, we’ll make sure to provide you with the support and resources necessary to help you with your recovery.”
A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.)
A. The drug does not cause sleepiness in the morning.
B. It is available in both quick-onset and continuous-release oral forms.
C. The drug should not be used for longer than 1 month.
D. It should be taken 1 hour to 90 minutes before going to bed.
E. One of the most common adverse effects of the drug is headache.