Author Question: Which drug type used to treat depression works by preventing enzymatic destruction of the ... (Read 29 times)

Mollykgkg · **on:** Jul 23, 2018

Which drug type used to treat depression works by preventing enzymatic destruction of the neurotransmitter norepinephrine?

1. Serotonin-norepinephrine reuptake inhibitors (SNRIs)
2. Selective serotonin reuptake inhibitors (SSRIs)
3. Tricyclic antidepressants (TCAs)
4. Monoamine oxidase inhibitors (MAOIs)

Question 2

The patient is receiving human serum albumin (Albuminar) as treatment for shock. What is a priority assessment by the nurse?

1. Auscultate breath sounds for hyper-resonance.
2. Auscultate for an absence of breath sounds in the lower lobes.
3. Auscultate breath sounds for inspiratory stridor.
4. Auscultate breath sounds for crackles.

kbennett34 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

4
Rationale 1: SNRIs inhibit the reabsorption of serotonin and norepinephrine and elevate mood.
Rationale 2: SSRIs slow the reuptake of serotonin.
Rationale 3: TCAs inhibit neurotransmitter reuptake.
Rationale 4: MAOIs limit the breakdown of norepinephrine by inhibiting the enzyme monoamine oxidase.
Global Rationale: MAOIs limit the breakdown of norepinephrine by inhibiting the enzyme monoamine oxidase. TCAs inhibit neurotransmitter reuptake, while SSRIs slow the reuptake of serotonin. SNRIs inhibit the reabsorption of serotonin and norepinephrine and elevate mood.

Answer to Question 2

4
Rationale 1: Hyper-resonance is assessed by percussion, not auscultation.
Rationale 2: An absence of breath sounds is heard with a pneumothorax, not with pulmonary edema.
Rationale 3: Stridor is auscultated with airway obstruction, not pulmonary edema.
Rationale 4: Because human serum albumin (Albuminar) pulls fluid into the vascular space, circulatory overload is a serious complication. The nurse must monitor breath sounds; crackles will be heard with pulmonary congestion.
Global Rationale: Because human serum albumin (Albuminar) pulls fluid into the vascular space, circulatory overload is a serious complication. The nurse must monitor breath sounds; crackles will be heard with pulmonary congestion. An absence of breath sounds is heard with a pneumothorax, not with pulmonary edema. Hyper-resonance is assessed by percussion, not auscultation. Stridor is auscultated with airway obstruction, not pulmonary edema.