Because venlafaxine (Effexor) increases norepinephrine, the nurse ...

[Ebrown]

Because venlafaxine (Effexor) increases norepinephrine, the nurse assesses for what symptom in the client, especially when the client is on the higher doses of this medication?
 
  1. Sedation
  2. Hypothermia
  3. Bradycardia
  4. Elevated blood pressure

Question 2

Your client with a mood disorder states, My husband never calls to tell me he will be late for dinner, and then dinner is always ruined. The nurse knows that a priority teaching for this client would be:
 
  1. Cognitive theory
  2. Psychoanalytic Theory
  3. Object loss theory
  4. Genetic theory

[dlook33]

Answer to Question 1

4
Rationale: The impact of norepinephrine on the sympathetic nervous system increases the risk of hypertension. Bradycardia, hypothermia, and sedation would not occur when the sympathetic nervous system is activated.

Answer to Question 2

1
Rationale: Cognitive theory is a biopsychosocial theory that addresses distorted thinking processes. The key words are never and always. The nurse needs to teach ways to change the thinking on this client's stressor. Object loss theory addresses the separation of an infant from the primary caregiver during the first six months of life and does not address the client's thought pattern. Psychoanalytic theory focuses on the unsatisfactory relationship of the mother and infant and does not address the client thought pattern. Genetic theory deals with heredity and does not address the client's thought pattern.