A nurse caring for a patient taking an SSRI will develop outcome criteria related to:

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Question 1 of 5

A nurse caring for a patient taking an SSRI will develop outcome criteria related to:

Correct Answer: A

Rationale: The correct answer is A: mood improvement. Outcome criteria for a patient taking an SSRI focus on improving mood because SSRIs are primarily used to treat depression and anxiety disorders by increasing serotonin levels in the brain. Coherent thought processes (B) are important but not the primary focus of SSRI treatment. Reduced levels of motor activity (C) and decreased extrapyramidal symptoms (D) are not typically associated with SSRIs, so they are not relevant outcome criteria in this context. By prioritizing mood improvement as the outcome criteria, the nurse can effectively evaluate the effectiveness of the SSRI therapy for the patient.

Question 2 of 5

During the immediate postoperative recovery period, what is the nurse’s priority assessment?

Correct Answer: D

Rationale: The correct answer is D: Airway, breathing, and circulation. This is the priority assessment during the immediate postoperative recovery period as it ensures the patient's vital functions are stable. Assessing the airway ensures proper oxygenation, breathing status checks for any respiratory distress, and monitoring circulation helps detect any signs of shock or inadequate perfusion. Pupil responses (A) may indicate neurological changes but are not as critical as ensuring ABCs. Return to sensation (B) and level of consciousness (C) are important assessments but come after ensuring the patient's airway, breathing, and circulation are stable.

Question 3 of 5

The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a potential nursing diagnosis for the patient taking antihypertensive medications?

Correct Answer: B

Rationale: The correct answer is B: Sexual dysfunction. Antihypertensive medications can cause sexual dysfunction as a side effect due to their impact on blood flow and hormone levels. The nurse should consider this potential nursing diagnosis when creating a plan of care. Diarrhea (A) is not typically associated with antihypertensive medications. Urge urinary incontinence (C) is more commonly linked to conditions like overactive bladder. Impaired memory (D) is not a common side effect of antihypertensive medications.

Question 4 of 5

A patient is being discharged on anticoagulant therapy. The nurse will include in the patient-education conversation that it is important to avoid herbal products that contain which substance?

Correct Answer: B

Rationale: Step 1: Ginkgo is known to have anticoagulant properties. Step 2: Anticoagulant medications also thin the blood. Step 3: Combining ginkgo with anticoagulants can increase the risk of bleeding. Step 4: Therefore, it is crucial to avoid ginkgo-containing herbal products to prevent potential bleeding complications. Summary: A: Valerian does not have anticoagulant properties. C: Soy does not typically interfere with anticoagulant therapy. D: Saw palmetto is not known to increase bleeding risk with anticoagulants.

Question 5 of 5

When monitoring patients on antitubercular drug therapy, the nurse knows that which drug may cause a decrease in visual acuity?

Correct Answer: C

Rationale: The correct answer is C: ethambutol (Myambutol). Ethambutol is known to cause optic neuritis, leading to a decrease in visual acuity. This adverse effect is dose-dependent and more likely to occur with prolonged use. Rifampin (A), isoniazid (B), and streptomycin (D) do not typically cause visual disturbances. Rifampin may cause a harmless orange discoloration of bodily fluids. Isoniazid is known for hepatotoxicity and peripheral neuropathy. Streptomycin can lead to ototoxicity and nephrotoxicity. Therefore, ethambutol is the correct choice due to its association with visual acuity changes.

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