The nurse instructs a client being started on an SSRI for ...

[jc611]

The nurse instructs a client being started on an SSRI for possible side effects. The nurse should explain that the most frequent side effects include:
 
  1. urinary retention, dry mouth, and drowsiness.
  2. cardiac arrhythmias and postural hypotension.
  3. headaches, nausea, and insomnia.
  4. postural hypotension and diarrhea.

Question 2

The nurse is planning care for a client admitted with a new diagnosis of bipolar disorder. During the manic phase of the disorder, the nurse plans interventions that decrease the risk for violence to others, which would include:
 
  1. encouraging the client to join a basketball game.
  2. encouraging the client to participate in group activities.
  3. encouraging activities that minimize stimuli.
  4. responding to agitation by restraining the client.

[Hikerman221]

Answer to Question 1

Answer: 3

1. These are associated with tricyclic antidepressants.
2. These are associated with tricyclic antidepressants.
3. The most frequent side effects are headache, anxiety, nausea, diarrhea, and insomnia.
4. These are associated with tricyclic antidepressants.

Answer to Question 2

Answer: 3

1. Playing basketball could overstimulate the client. A walk with the nurse is more appropriate.
2. The client in the manic phase can become overstimulated easily, and group activities can contribute to the overstimulation.
3. Planning a calm, minimal-stimulus atmosphere can help protect others from violence.
4. Restraint is the last choice of action when a client becomes agitated. The nurse would employ the least restrictive means to defuse the situation.

[jc611]

TYSM

[kjohnson]

Gracias!