Author Question: A patient begins taking an antidepressant and comes to the clinic for a 2-week follow-up ... (Read 23 times)

xclash · **on:** Jul 23, 2018

A patient begins taking an antidepressant and comes to the clinic for a 2-week follow-up appointment. She complains that the depression has not gotten better or gone away. A nurse would be correct to counsel the patient that

a. the medication may take several weeks before therapeutic effects are seen.
b. the physician may need to order another medication.
c. tolerance may have developed, and the dose should be increased.
d. the medication should be doubled to create a greater supply in the body.

Question 2

A patient has decreased cardiac output. Which physiologic process in the kidneys would be most affected by this disease process?

a. Glomerular filtration
b. Tubular reabsorption
c. Tubular secretion
d. Osmotic pressure

randomguy133 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Antipsychotics and antidepressants must be taken for several weeks before full therapeutic ef-fects are seen.
Another medication is not yet indicated.
Tolerance develops with chronic prolonged use, two weeks is not considered prolonged.
The medication should not be doubled as toxicity may occur.

Answer to Question 2

B
The baroreceptor response to decreased cardiac output is to increase volume by the reuptake of water to continue to perfuse the body and the kidneys. This is evidenced by tubular reabsorption.
Glomerular filtration, tubular secretion, and osmotic pressure are not appropriate responses to reduced cardiac output.