Author Question: The nurse interviews the family of a patient hospitalized with severe depression who is prescribed a ... (Read 76 times)

lidoalex

  • Hero Member
  • *****
  • Posts: 538
The nurse interviews the family of a patient hospitalized with severe depression who is prescribed a tricyclic antidepressant. What assessment data are important in planning this patient's plan of care? (Select all that apply.)
 
  A) Recent suicide attempts
  B) Gastrointestinal (GI) obstruction
  C) Affect
  D) Physical pain
  E) Personal responsibilities

Question 2

What medication could the nurse administer in a single dose for effective treatment of the patient's vaginal candidal infection?
 
  A) Caspofungin (Cancidas)
  B) Terbinafine (Lamisil)
  C) Ketoconazole (Nizoral)
  D) Tioconazole (Monistat-1)



jgranad15

  • Sr. Member
  • ****
  • Posts: 345
Answer to Question 1

A, B, C
Feedback:
When caring for a patient with a diagnosis of depression it is always important for the nurse to assess for recent suicide attempts, suicidal ideation, and any suicidal plans. After starting the medication, as the patient begins to feel better, risk of suicide increases, so ongoing assessment is essential to the patient's safety. Other assessments include allergies, liver and kidney function, glaucoma, benign prostatic hypertrophy, cardiac dysfunction, GI obstruction, surgery, or recent myocardial infarction, all of which could be exacerbated by the effects of the drug. Assess history of psychiatric problems, or myelography within the past 24 hours or in the next 48 hours, or is taking a monoamine oxidase inhibitor to avoid potentially serious adverse reactions. Physical pain and personal responsibilities may be assessed but are not priority assessments unless indicated by other diagnoses.

Answer to Question 2

D
Feedback:
Tioconazole may be given as one dose for treatment of vaginal candidal infection. Caspofungin is given IV to treat invasive aspergillosis in patients who did not respond to other treatments and would not be used for a vaginal candidal infection. Terbinafine is administered twice daily for 1 to 4 weeks to treat topical mycosis. Ketoconazole is administered orally or topically to treat aspergillosis, leishmaniasis, cryptococcosis, blastomycosis, moniliasis, coccidioidomycosis, histoplasmosis, and mucormycosis but would not be used to treat vaginal candidal infections.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Chronic marijuana use can damage the white blood cells and reduce the immune system's ability to respond to disease by as much as 40%. Without a strong immune system, the body is vulnerable to all kinds of degenerative and infectious diseases.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

For a complete list of videos, visit our video library