A 26-year-old woman was in a car accident months ago that killed her mother, husband, and 2 year-old son. She and her father were the only survivors of the crash, She is seeking care for depression. The client is at risk for the development of ____________ and _______________ when taking Buspirone Choices Drowsiness, Seratonin Syndrome, Bipolar Disorder, and Bradycardia
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A 26-year-old woman was in a car accident months ago that killed her mother, husband, and 2 year-old son. She and her father were the only survivors of the crash, She is seeking care for depression.
The client is at risk for the development of ____________ and _______________ when taking Buspirone
Choices Drowsiness, Seratonin Syndrome, Bipolar Disorder, and Bradycardia
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- Mr. James is to be prescribed a potent opioid analgesic for relief of his moderate pain. list one example of drug that he can be prescribea 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases What are common side effects of fentanyl? How should they be monitored or avoided?Which statement by the client indicates the need for further teaching regarding amiodarone? I may have itching, malaise, and jaundice, but these symptoms will subside I need to use Sunblock to keep my skin from turning bluish grey I should not drink grapefruit juice while taking this medication I should report shortness of breath and stop taking the drug immediately
- a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases 4. What are common side effects of risperidone?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases1. This patient is complaining that her gums are getting larger and are starting to grow over her teeth.What might be causing this?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastasesWhat is the mechanism of action of sertraline and the common side effects?
- This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases2. The physical therapist comes to you the next afternoon & states that he is unable to arouse thepatient for therapy. You enter the room and discover that the patient has been chewing on an oldfentanyl patch. She has probably overdosed. What medication can be given to this patient?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases The patient started to hallucinate and became combative with the staff. Her physician ordered 5mg ofhaloperidol to be given IM. Later that day the patient came to the nursing station complaining ofsevere spams in her neck and back. What is his happening to her and what is causing it?symptoms?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases1. This patient is complaining that her gums are getting larger and are starting to grow over her teeth.What might be causing this?2. The physical therapist comes to you the next afternoon & states that he is unable to arouse thepatient for therapy. You enter the room and discover that the patient has been chewing on an oldfentanyl patch. She has probably overdosed. What medication can be given to this patient?3. What are common side effects of fentanyl? How should they be…
- he client is being discharged with nitroglycerin (Nitrostat) for sublingual use. While planning clienteducation, what instruction will the nurse include?a. “Swallow three tablets immediately for pain and call 911.”b. “Put one tablet under your tongue for chest pain. If pain does not subside, you may repeat in 5 minutes, taking no more than three tablets.”c. “Call your health care provider when you have chest pain. He will tell you how many tablets to take.”d. “Place three tablets under your tongue and call 911.”Explain why letter b is the right answer and why the other options are incorrect.The nurse is educating a postoperative patient about their patient-controlled analgesia pump. Which instructions should the nurse include? Select all that apply. a. Inform the nurse about the pain level being experienced b. Push the button before the pain is unbearable c. Ask the family to push the button as needed d. Report the inability to void e. Report any nausea and vomitingThe surgeon has prescribed 5/150 mg hydrocodone bitartrate and acetaminophen PO Q6H prn pain. The nurse is reviewing the drug label and preparing to administer the opioid to the client who is complaining of 8 out of 10 RUQ pain. What pain scale was used to assess this client? How many tablet(s) will the nurse administer per dose? (Be sure to include units.) What is meant by 300 mg on the drug label below? If the nurse administers the first dose at 1730 to the client, when can the client have the next dose? What type of order is prn?