A staff nurse tells the clinical nurse leader, I am at a total ...

[Mollykgkg]

A staff nurse tells the clinical nurse leader, I am at a total loss as to how to deal with this patient.
 
  He has so many physical needs since his head and neck surgery Those needs have to be my primary focus, but sometimes it seems he's crying and in emotional pain too, and I don't know how to help with that.. Which resource would likely be the best choice to help this nurse? a. Psychiatric liaison nurse
  b. On-call psychiatrist
  c. Unit social worker
  d. Hospital chaplain

Question 2

A female client is 3 days postoperative and has been receiving meperidine (Demerol) for pain control. The family mentions to the nurse that the client has been taking phenelzine (Nardil) for years for her depression.
 
  The client did not list this medication on admission. What signs and symptoms should the nurse look for in case of reaction between these two medications? a. Increased pulse and respirations
  b. Hyperactivity and difficulty concentrating
  c. Increased tearing and increased urinary output
  d. Sedation, disorientation, and hallucinations

[jsm54321]

Answer to Question 1

A
The psychiatric liaison nurse is an advanced practice nurse who provides patient care consultation to nurses outside of psychiatry and would be an ideal resource to help a nurse caring for a patient with emotional health needs. The other professionals might be able to be helpful, but problems such as these are the specialty of the liaison nurse.

Answer to Question 2

D
Nardil is a monoamine oxidase inhibitor; therefore, symptoms of CNS depression such as sedation, disorientation, and hallucinations, rather than increased vital signs, hyperactivity and difficulty concentrating, and increased tearing and urination, most likely would occur as a reaction between these two medications.

[Mollykgkg]

Thank you

[jsm54321]

No problemo