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A nurse is caring for an individual who is to receive antidepressant therapy on an outpatient basis. What precaution should the nurse suggest to prevent risk of injury if the client experiences dizziness when getting out of bed?
- A. Strictly avoid movements if dizziness occurs
- B. Rise slowly when getting out of bed
- C. Have breakfast before getting out of bed
- D. Have a glass of water to overcome dizziness
Correct Answer: B
Rationale: Rising slowly helps prevent orthostatic hypotension, a common side effect of antidepressants that can cause dizziness.
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The nurse is reviewing the medical records of several clients who are receiving lithium. Which of the following would the nurse identify as being at increased risk for the development of lithium toxicity?
- A. Clients receiving furosemide (Lasix)
- B. Clients experiencing diarrhea
- C. Clients with renal insufficiency
- D. Clients with liver cirrhosis
- E. Clients experiencing vomiting
Correct Answer: A,B,C,E
Rationale: Diuretics like furosemide, diarrhea, vomiting, and renal insufficiency increase lithium levels by reducing clearance, heightening toxicity risk.
A nurse understands that duloxetine may be used to treat which of the following?
- A. Obsessive-compulsive disorder
- B. Depression
- C. Fibromyalgia
- D. Diabetic neuropathy
- E. Stress incontinence
Correct Answer: B,C,D,E
Rationale: Duloxetine, an SNRI, is indicated for depression, fibromyalgia, diabetic neuropathy, and stress incontinence due to its effects on serotonin and norepinephrine.
A nurse understands that the antidepressant drug paroxetine (Paxil) can be used to treat which of the following medical conditions?
- A. Enuresis
- B. Depressive episodes
- C. Anorexia
- D. Obsessive-compulsive disorders
- E. Bulimia nervosa
Correct Answer: B,D,E
Rationale: Paroxetine, an SSRI, is indicated for depressive episodes, obsessive-compulsive disorder, and bulimia nervosa due to its serotonin-modulating effects.
Before administering an antidepressant to a client, which of the following would the nurse assess?
- A. Vital signs
- B. Presence of suicidal ideation
- C. Complete medical history
- D. Weight
- E. Mental status
Correct Answer: A,B,C,D,E
Rationale: A comprehensive assessment including vital signs, suicidal ideation, medical history, weight, and mental status is critical to ensure safe antidepressant administration.
A nurse is caring for a client who has been prescribed a monoamine oxidase inhibitor (MAOI). Which of the following should the nurse instruct the client to avoid?
- A. Milk
- B. Butter
- C. Rice
- D. Yogurt
Correct Answer: D
Rationale: Yogurt contains tyramine, which can interact with MAOIs to cause hypertensive crisis; milk, butter, and rice are safe.