A nurse is planning care for a child who is experiencing ...

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A nurse is planning care for a child who is experiencing depression. Which medication is approved by the U.S. Food and Drug Administration (FDA) for the treatment of depression in children and adolescents?
 
  A. Paroxetine (Paxil)
  B. Sertraline (Zoloft)
  C. Citalopram (Celexa)
  D. Fluoxetine (Prozac)

Question 2

A nurse reviews the laboratory data of a 29-year-old client suspected of having major depressive disorder. Which laboratory value would potentially rule out this diagnosis?
 
  A. Thyroid-stimulating hormone (TSH) level of 6.2 U/mL
  B. Potassium (K+) level of 4.2 mEq/L
  C. Sodium (Na+) level of 140 mEq/L
  D. Calcium (Ca2+) level of 9.5 mg/dL

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Answer to Question 1

ANS: D
Fluoxetine (Prozac) is FDA approved for the treatment of depression in children and adolescents. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used in the treatment of depression. All antidepressants carry an FDA warning for increased risk of suicide in children and adolescents.

Answer to Question 2

ANS: A
According to the DSM-5, symptoms of major depressive disorder cannot be due to the direct physiological effects of a general medical condition (e.g., hypothyroidism). The diagnosis of major depressive disorder may be ruled out if the client's laboratory results indicate a high TSH level (normal range for this age group is 0.4 to 4.2 U/mL), which results from a low thyroid function, or hypothyroidism. In hypothyroidism metabolic processes are slowed, leading to depressive symptoms.

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