A client, prescribed an antidepressant for symptoms of ...

[rayancarla1]

A client, prescribed an antidepressant for symptoms of depression, is expressing feelings of hopelessness and thoughts of suicide. The nurse's response will be based on which conclusion?
 
  1. There is great variability in individual responses to drugs that affect the CNS.
  2. The client has not been taking the antidepressant.
  3. The antidepressant needs to be taken for several months in order to eliminate suicidal ideations.
  4. Drug levels should be obtained to see if the dose needs to be increased.

Question 2

Prior to administering a newly prescribed order for metoprolol (Toprol), the nurse reviews the client's medications and decides to question the order for which reason?
 
  Standard Text: Select all that apply.
  1. The client is also prescribed a calcium channel blocker.
  2. The client is already taking an antihypertensive medication.
  3. The client is using cimetidine.
  4. The client is taking oral contraceptives.
  5. The client is taking aspirin.

[Kedrick2014]

Answer to Question 1

Correct Answer: 1
Rationale 1: There is great client variability in symptoms and disease progression with conditions such as depression. Without a complete understanding of the etiology and pathophysiology of mental disorders, pharmacotherapy of these conditions and the development of new drug therapies for CNS disorders will remain challenging.
Rationale 2: There is no indication in the stem that the client has been noncompliant in taking the medication.
Rationale 3: Suicidal clients require immediate attention.
Rationale 4: The name of the medication is not given; therefore, the need for drug levels cannot be determined from the information given.
Global Rationale: There is great client variability in symptoms and disease progression with conditions such as depression. Without a complete understanding of the etiology and pathophysiology of mental disorders, pharmacotherapy of these conditions and the development of new drug therapies for CNS disorders will remain challenging. There is no indication in the stem that the client has been noncompliant in taking the medication. Suicidal clients require immediate attention. The name of the medication is not given; therefore, the need for drug levels cannot be determined from the information given.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Concurrent use of a beta1 blocker with a calcium channel blocker can cause bradycardia or heart block.
Rationale 2: Concurrent use of a beta1 blocker with an antihypertensive can cause additive hypotension.
Rationale 3: Concurrent use of a beta1 blocker with cimetidine can cause additive hypotension.
Rationale 4: Concurrent use of a beta1 blocker with oral contraceptives can cause additive hypotension.
Rationale 5: The use of aspirin is not contraindicated in the use of a beta1 blocker.
Global Rationale: Concurrent use of a beta1 blocker with a calcium channel blocker can cause bradycardia or heart block. Concurrent use of a beta1 blocker with an antihypertensive, cimetidine, or an oral contraceptive can cause additive hypotension. The use of aspirin is not contraindicated in the use of a beta1 blocker.

[rayancarla1]

TY

[Kedrick2014]

You're welcome