Chapter 7 Post Test

Chapter 7 Post Test - Chapter 07 Post Test Radford,Cindy...

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Chapter 07 Post Test Radford,Cindy Submitted : 4/9/2011 10:54:34 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 24/24 1. The client with insomnia asks the nurse why the client is being switched to eszopiclone (Lunesta) from the flurazepam (Dalmane) that the client has been on for three weeks. Which of the following is the correct nursing response to this question? 1
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Chapter 07 Post Test Radford,Cindy Submitted : 4/9/2011 10:54:34 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 24/24 a. Sinc e both medi catio ns are che mica lly the sam e, it is just an insur ance issu e. b. Eszo piclo ne is an older medi catio n and less expe nsiv e. c. Flura zepa m is only for short - term use of unde r a mont h. d. 2
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Chapter 07 Post Test Radford,Cindy Submitted : 4/9/2011 10:54:34 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 24/24 Grade: 1 User Responses: c.Flurazepam is only for short-term use of under a month. Feedback: a. Rationale: Flurazepam is a benzodiazepine used on consecutive nights of about one month. Eszopiclone is a nonbenzodiazepine sedative-hypnotic and the first approved for long-term use. Eszopiclone is a much newer medication than is Flurazepam. The length of sleep is not appreciably different between the two medications. Cognitive Level: Application Nursing Process: Implementation Client Need: Physiological Integrity 3
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Chapter 07 Post Test Radford,Cindy Submitted : 4/9/2011 10:54:34 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 24/24 2. The client with major depressive disorder about to be discharged on fluoxetine (Prozac) 60 mg daily asks the nurse if it would be all right to begin taking St. John’s wort again at home. What is the correct nursing response? 4
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Chapter 07 Post Test Radford,Cindy Submitted : 4/9/2011 10:54:34 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 24/24 a. “The inter actio n of this herb al and antid epre ssan ts can caus e nega tive side effec ts.” b. “Inst ead of St. John ’s wort, you coul d take kava for your depr essi on.” c. “This herb al is a very effec tive antid epre ssan t and shou 5
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Chapter 07 Post Test Radford,Cindy Submitted : 4/9/2011 10:54:34 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 24/24 Grade: 1 User Responses: a.“The interaction of this herbal and antidepressants can cause negative side effects.” Feedback: a. Rationale: The interaction of St. John’s wort and an SSRI can lead to sedative-hypnotic intoxication and should not be taken together. St. John’s wort does not generally cause weight gain. Kava is often taken for anxiety, and the nurse should not recommend it for depression or without discussing it with the prescriber. Cognitive Level: Application Nursing Process: Implementation Client Need: Physiological Integrity 6
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Chapter 07 Post Test Radford,Cindy Submitted : 4/9/2011 10:54:34 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 24/24 3. The client with a rapid cycling mania asks why divalproex is being used and not lamotrigine
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This note was uploaded on 05/03/2011 for the course NURS 2210 taught by Professor Dims during the Spring '11 term at Virginia College.

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Chapter 7 Post Test - Chapter 07 Post Test Radford,Cindy...

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