When prescribing a tricyclic antidepressant, which patient would we be most concerned about dispensing the medication to?

A 30-year-old female who has not responded to 2 other antidepressant medications.

A patient with a recent suicide attempt.

A 50-year-old male with hyperlipidemia.

A patient with refractory anxiety.

Answer and Explanation

The Correct Answer is B

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Correct Answer is D

No explanation

A. Discourage the client from taking a nap during the day. B. Weigh the client every 3 to 4 days. C. Maintain an environment with low stimuli. D. Offer finger foods to the client every 2 hr. E. Monitor vital signs every 1 to 2 hr throughout the day.

Correct Answer is ["C","D","E"]

Explanation

Correct answers: C, D, E

Choice A rationale:
While a consistent sleep schedule is important in the long term, a short nap during the day might be helpful for someone experiencing mania to prevent complete exhaustion, which can worsen symptoms.

Choice B rationale:
Weighing the client every 3 to 4 days (Choice B) might not be as crucial as the other options provided. While changes in weight can occur during mania, this intervention may not be as directly related to managing the acute symptoms of mania as other interventions.

Choice C rationale:
Maintaining an environment with low stimuli (Choice C) is essential during a manic episode. Clients with mania often experience heightened sensory sensitivity, and reducing environmental stimuli can help decrease agitation and promote a more stable mood.

Choice D rationale:
A client in a manic episode has increased caloric needs due to constant physical activity but may be unable to sit down for regular meals.Providing finger foods allows them to eat while remaining active.

Choice E rationale:

Mania can cause physiological changes like increased heart rate, blood pressure, and body temperature. Frequent monitoring helps detect potential complications and guide treatment decisions.

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When prescribing a tricyclic antidepressant, which patient would we be most concerned about dispensing the medication to?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An accomplished student has won an award and will need to accept the award as well as give a short speech to thank faculty. The student is fearful of public speaking. The student consults a nurse at the Student Health Center. The nurse is aware that social phobias are often treated using:.

Correct Answer is D

A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.).

Correct Answer is ["C","D","E"]

Explanation

When prescribing a tricyclic antidepressant, which patient would we be most concerned about dispensing the medication to?

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.).

A nurse is providing discharge teaching to a client with a new prescription for phenelzine. The nurse should instruct the client to avoid which of the following foods when taking this medication?

A patient who is a recovering alcoholic has been diagnosed as having panic disorder. The psychiatrist is planning long-term treatment with a medication that is taken daily. Which medication should the nurse anticipate to plan for patient teaching?

A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

A nurse caring for a client who has depression observes the client coming to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?

Guadalupe is terminally ill with brain cancer and her family is considering home hospice. Which of the following statements by the nurse is accurate regarding hospice care?