Nokea
Since taking the antidepressant doxepin, the female client has been reporting a decrease in sexual desire. She tells the nurse she “just isn't that interested†because she “just doesn't enjoy sex anymore.†She and her partner agree that they miss the excitement they used to share. Which is the most helpful response by the nurse?
- A. Perhaps you could try some alternatives to your normal sexual routines to enhance your sexual relationship.
- B. This often happens when couples are together for a longer period of time. Tell me how you would feel about a referral for counseling.
- C. This may be due to your medication. How would you feel about talking to your doctor about changing to a different type of antidepressant?
- D. Try to wait for a while. This is a temporary effect of your therapy, and as your depression gets better your interest in sexual activity should increase.
Correct Answer: C
Rationale: The most therapeutic response is to ask the client how she feels about contacting the HCP; switching to another antidepressant may be necessary if sexual dysfunction side effects become intolerable.
You may also like to solve these questions
An allergic reaction is classified as what type of pharmacological effect?
- A. a therapeutic effect
- B. a side effect
- C. an adverse effect
- D. an incompatibility
Correct Answer: C
Rationale: An allergic reaction is considered an adverse effect, as it is unintended and requires treatment. A side effect is also undesired but is somewhat expected, and a side effect does not require intervention.
The clinic nurse is teaching the parent how to give eye drops to the 3-year-old who has bacterial conjunctivitis and purulent drainage out of both eyes, swollen eyelids, and inflamed conjunctiva. What information should the nurse provide?
- A. Restrain the child prior to administering the eye drops.
- B. Have the child sitting when administering the eye drops.
- C. Place the child in a head-down position to instill the eye drops.
- D. Obtain the child's cooperation by describing the procedure in detail.
Correct Answer: A
Rationale: A: It is necessary to secure the child prior to instilling eye drops to ensure that the child receives the entire prescribed dose. The child is likely to resist instillation of the eye drops because a child is told not to put anything in the eyes and is likely to remember painful experiences such as dust or a foreign object that has gotten into the eye. B: The child should be supine, not sitting, when instilling eye drops. C: The child should be supine, not in a head-down position, when instilling eye drops. D: Telling the child what is happening is important, but at the age of 3, a detailed explanation will not make the child more cooperative.
The client is being discharged with a prescription for an inhaled glucocorticoid for asthma. Which of the following statements indicates additional education is needed prior to discharge?
- A. I will hold my breath for 10 seconds after each puff.
- B. I will wait five minutes after taking this medication and then gargle water.
- C. I will wait at least one minute in between each puff.
- D. I will take this medication daily even if I am not having symptoms.
Correct Answer: B
Rationale: The client should gargle and spit water immediately after taking an inhaled glucocorticoid to remove residue of the medication, which can lead to thrush.
A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. All of these may indicate which of the following medical conditions?
- A. Patient may have a DVT.
- B. Patient may be exhibiting signs of dermatitis.
- C. Patient may be in the late phases of CHF.
- D. Patient may be experiencing anxiety after surgery.
Correct Answer: A
Rationale: All of these factors (SOB, calf pain, and warmth) indicate a deep vein thrombosis (DVT), which can be a postoperative complication.
The client using latanoprost eye drops for treatment of glaucoma calls the ophthalmology clinic after noting a brown pigmentation of the iris. Which nursing action is most appropriate?
- A. Instruct the client to come to the clinic to have the eyes and medication evaluated.
- B. Schedule an appointment for the client to see an internist for liver function studies.
- C. Tell the client that the pigmentation is from the latanoprost but will eventually regress.
- D. Recommend that the client wear sunglasses when outdoors to decrease iris pigmentation.
Correct Answer: A
Rationale: A: A side effect of latanoprost (Xalatan), a prostaglandin, includes a heightened brown pigmentation of the iris, which stops progressing when latanoprost is discontinued. B: Jaundiced sclera, and not brown iris pigmentation, would suggest the need to evaluate liver function. C: The brown iris pigmentation from the latanoprost does not usually regress. D: Wearing sunglasses will have no effect on the iris pigmentation.