Nokea
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.
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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.
A nurse administers amitriptyline cautiously to which clients?
- A. Clients with cardiac disease
- B. Clients with hypothyroidism
- C. Clients with diabetes
- D. Elderly clients
- E. Adolescent clients
Correct Answer: A,D
Rationale: Amitriptyline's anticholinergic and cardiac effects necessitate caution in clients with cardiac disease and elderly clients, who are more sensitive to these effects.
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.
After teaching a group of nursing students about possible adverse reactions associated with trazodone, the instructor determines that the teaching was successful when the students identify which of the following?
- A. Sexual dysfunction
- B. Insomnia
- C. Priapism
- D. Diarrhea
- E. Dry mouth
Correct Answer: C,E
Rationale: Trazodone is associated with priapism and dry mouth as notable adverse reactions due to its pharmacological profile.
A client is prescribed a monoamine oxidase inhibitor (MAOI) for depression. During the initial interview, with the client, the nurse understands that the client is also receiving an adrenergic agent. The nurse would be alert for which of the following?
- A. Increased risk for hypertensive episodes
- B. Increased risk for severe convulsions
- C. Increased risk for hyperpyretic episodes
- D. Increased risk for cardiac arrhythmias
Correct Answer: D
Rationale: MAOIs combined with adrenergic agents can lead to cardiac arrhythmias due to excessive catecholamine activity.