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NEW QUESTION 32
The nurse is planning a reality orientation program for a group of clients with organic brain syndrome at the mental health center. Props that could be used for this program are:

A. A library of biographical booksB. Large maps and posters depicting area of current residenceC. Month-old magazines that are provided by volunteersD. A litter of kittens for the clients to pet

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. Current magazines would be appropriate. (B) This answer is correct. Maps of the state and town and posters that depict current events in the area are appropriate props. (C) This answer is incorrect. Kittens would be appropriate for pet therapy, not reality therapy. (D) This answer is incorrect. Biographies depict a past, not a present, orientation.

 

NEW QUESTION 33
The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

A. Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.B. Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.C. The therapeutic effect of the drug occurs 2-4 weeks after treatment is begun.D. Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Fluoxetine is not a tricyclic antidepressant. It is an atypical antidepressant. (B) This statement is true.
(C) These foods are high in tyramine and should be avoided when the client is taking MAO inhibitors.
Fluoxetine is not an MAO inhibitor. (D) Fatal reactions have been reported in clients receiving fluoxetine in combination with MAO inhibitors.

 

NEW QUESTION 34
MgSO4 is ordered IV following the established protocol for a client with severe PIH. The anticipated effects of this therapy are anticonvulsant and:

A. VasoconstrictiveB. VasodilativeC. AntiemeticD. Hypertensive

Answer: B

Explanation:
Explanation
(A) An anticonvulsant effect is the goal of drug therapy for PIH. However, we would not want to increase the vasoconstriction that is already present. This would make the symptoms more severe. (B) An anticon-vulsant effect and vasodilation are the desired outcomes when administering this drug. (C) An anticonvulsant effect is the goal of drug therapy for PIH; however, hypertensive drugs would increase the blood pressure even more.
(D) An anticonvulsant effect is the goal of drug therapy for PIH. MgSO4is not classified as an antiemetic.
Antiemetics are not indicated for PIH treatment.

 

NEW QUESTION 35
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