Mrs. Levine is a 72-year-old woman with a history of major depressive disorder. She takes fluoxetine (Prozac) and has experienced significant relief from depression. While reviewing her medications, she tells you she is using a variety of over-the-counter sleep aids because she has been having some difficulty sleeping recently. These OTC products include diphenhydramine, melatonin, valerian, and something that her neighbor gave her to try What further assessment is required?
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- Sgt. Eddie Johns leaned back against the chair in the outpatient... Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn't sure which was worse, the "morning after" headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn't know what that was and really didn't believe them anyway. He was still thinking just fine. His friend Joe wasn't so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie…Even though depression is a common issue, why are many people still afraid of seeking helxp?A college student visits the school’s health center with vaguecomplaints of anxiety and fatigue. The student tells the nurse,“Exams are right around the corner and all I feel like doingis sleeping.” The student’s vital signs are within normalparameters. What would be an appropriate question to ask inresponse to these complaints?a. “Are you worried about failing your exams?”b. “Have you been staying up late studying?”c. “Are you using any recreational drugs?”d. “Do you have trouble managing your time?”
- Discuss the role of the endocrine system in Addison's Disease. Describe to the patient how you concluded that diagnosis of this condition was Addison's disease.Given that Susan has cancer, the decision is made to immediately begin behavioral treatment in conjunction with varenicline (Chantix). What are the most likely reasons that varenicline was chosen for pharmacological intervention for Susan?Which of the following is NOT an indication for benzodiazepines Choose an option: Depression Schizophrenia Anxiety / anxiety Epilepsy Sleeping difficulties
- A 60-year man had undergone cardiac bypass surgery 2 days back. Now he started forgetting things and was not able to recall the names and phone numbers of his relatives. What is the probable diagnosis? source: helpinhomework.org A. Depression B. Post-traumatic psychosis C. Cognitive dysfunction D. Alzheimer’s diseaseNorepinephrine imbalances in the brain may lead to all, EXCEPT: memory problem depression poor focus panic attacksPeter is a 90-year-old nursing home resident who has a history of epilepsy. His seizures are managed with Valproic Acid 750mg by mouth three times daily. His daughter is visiting and reports to you that she notices her father is more lethargic than usual and that he refused to eat his supper because he felt nauseous. After reviewing his orders, you note that his scheduled dose of Valproic Acid 750mg by mouth is due now. On hand you have Valproic Acid 250mg/ 5ml. Identify one ethical, legal, or economic issue associated to the specific drug therapy. (Consider cost of drug and it’s implication to access, risk v. benefit of treatment, side effects) Present the conflicting sides of the ethical dilemma Discuss the relevant nursing ethical principles that pertain to this issue. Identify how this can impact nursing practice.
- Peter is a 90-year-old nursing home resident who has a history of epilepsy. His seizures are managed with Valproic Acid 750mg by mouth three times daily. His daughter is visiting and reports to you that she notices her father is more lethargic than usual and that he refused to eat his supper because he felt nauseous. After reviewing his orders, you note that his scheduled dose of Valproic Acid 750mg by mouth is due now. On hand you have Valproic Acid 250mg/5ml. How many milliliters will you administer for his dose?What is the ethical problem with giving a patient a placebo and saying it is an antidepressant?Peter is a 90-year-old nursing home resident who has a history of epilepsy. His seizures are managed with Valproic Acid 750mg by mouth three times daily. His daughter is visiting and reports to you that she notices her father is more lethargic than usual and that he refused to eat his supper because he felt nauseous. After reviewing his orders, you note that his scheduled dose of Valproic Acid 750mg by mouth is due now. On hand you have Valproic Acid 250mg/5ml. Identify mechanism of action of the drug as it pertains to the pathophysiology of this specific patient Identify three adverse effects associated with this drug that are relevant to this particular scenario. What are two ways you as the nurse can identify the drug is achieving its therapeutic effect? What do you expect to observe in the client’s symptoms, labs, vital signs? Identify one ethical, legal, or economic issue associated to the specific drug therapy. (Consider cost of drug and it’s implication to access, risk v.…