This topic contains a solution. Click here to go to the answer

Author Question: The patient has been depressed, and the physician plans to begin treatment with an antidepressant ... (Read 64 times)

vicotolentino

  • Hero Member
  • *****
  • Posts: 552
The patient has been depressed, and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask?
 
  1. How much alcohol do you consume during the week?
  2. Are you allergic to any medications?
  3. How long have you been depressed?
  4. Have you had any thoughts about killing yourself?

Question 2

A patient asks which conditions will cause his heart to need more oxygen. The nurse answers with which statements?
 
  1. Increasing physical activity.
  2. Watching a television show.
  3. Emotional stress.
  4. Eating a meal.
  5. Listening to music.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

zenzy

  • Sr. Member
  • ****
  • Posts: 336
Answer to Question 1

4
Rationale 1: Assessing for alcohol intake is important but is not the priority safety issue.
Rationale 2: Asking about allergies is a good safety question, but is not the priority with a depressed patient, and there are very few allergies to antidepressant medication. This question can be asked later.
Rationale 3: The length of the patient's depression is important but is not a safety issue.
Rationale 4: The nurse should always assess for suicidal ideation in any depressed patient who is about to begin antidepressant treatment. The medication takes several weeks before the full benefit is obtained. This is a safety issue.
Global Rationale: The nurse should always assess for suicidal ideation in any depressed patient who is about to begin antidepressant treatment. The medication takes several weeks before the full benefit is obtained. This is a safety issue. The length of the patient's depression is important but is not a safety issue. Assessing for alcohol intake is important but is not a safety issue. Asking about allergies is a good safety question, but is not the priority with a depressed patient, and there are very few allergies to antidepressant medication. This question can be asked later.

Answer to Question 2

1,3
Rationale 1: Increased physical activity requires more cardiac output, increasing the work of the heart and increasing myocardial oxygen demand.
Rationale 2: Watching a television show generally does not require more cardiac output.
Rationale 3: Emotional stress causes epinephrine release, increasing heart rate and contractility and increasing myocardial oxygen demand.
Rationale 4: Eating a meal generally does not require more cardiac output.
Rationale 5: Listening to music generally does not require more cardiac output.
Global Rationale: Increased physical activity requires more cardiac output, increasing the work of the heart and increasing myocardial oxygen demand. Emotional stress causes epinephrine release, increasing heart rate and contractility and increasing myocardial oxygen demand. Watching a television show generally does not require more cardiac output. Eating a meal generally does not require more cardiac output. Listening to music generally does not require more cardiac output.





 

Did you know?

No drugs are available to relieve parathyroid disease. Parathyroid disease is caused by a parathyroid tumor, and it needs to be removed by surgery.

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

Cyanide works by making the human body unable to use oxygen.

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

For a complete list of videos, visit our video library