Author Question: A patient taking vilazodone has been vomiting persistently for 12 hours. The priority nursing ... (Read 40 times)

arivle123 · **on:** Jul 24, 2018

A patient taking vilazodone has been vomiting persistently for 12 hours. The priority nursing diagnosis for this patient is

a. nausea.
b. imbalanced nutrition (less than body requirements).
c. fluid volume deficit.
d. altered peripheral tissue perfusion.

Question 2

Which area(s) should be addressed by the nurse when obtaining a history of a patient admitted with depression? (Select all that apply.)

a. Current medications and medical history
b. Recent stressors and support system
c. Family history of mood disorder
d. Dietary patterns
e. Insurance coverage

cam1229 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C
Nausea and vomiting are common adverse effects of vilazodone. Persistent vomiting should be evaluated for other causes, as well as for the development of electrolyte imbalance. Fluid volume deficit can lead to life-threatening cardiac arrhythmias and therefore is the priority nursing diagnosis. The nursing diagnosis nausea is appropriate but is not the priority. Imbalanced nutrition is an appropriate nursing diagnosis but is not the priority at this time. Altered peripheral tissue perfusion does not apply to this scenario.

Answer to Question 2

ANS: A, B, C, D
It is important to obtain a thorough history when assessing the patient with depression, including current medical status and medications, recent stressors, support system, family history of mood disorders, and nutritional patterns. Financial matters should not be part of the nursing assessment.