Reference no: EM133847603

Question

1. A 58- year old male client is brought to the emergency department by his family. The client's heart rate is 135 beats/min. He is sweating and has muscle tremors and is very agitated. The client says, "I was so depressed and took more of the pills the doctor gave me. I thought it would make me feel better."

What does the nurse suspect is happening with this client?

What treatment options does the nurse expect to implement? Give specific examples.

2. The client was admitted to the hospital for 24 hour observation. The nurse is now getting him ready for discharge. Which information will the nurse include in client teaching about SSRIs? Explain your answer.

a. It usually takes 4 to 6 weeks until you will experience benefits from the medication.

b. The client must avoid foods that contain tyramine.

c. If the client develops an upset stomach when taking this medication, he should discontinue use.

d. The client should take the medication at bedtime to enhance sleep.

Rationale:

3. Several months later, the client returns to his primary care provider's office for follow-up regarding use of paroxetine. The client tells the nurse that he is feeling better and stopped taking it yesterday. He doesn't plan on taking the medication again. When talking with the client, which knowledge should guide the nurse's response? Explain your answer.

a. Drug dependency will develop, so it is appropriate to stop therapy after a few months.

b. Drug therapy must be stopped as soon as the client feels better to avoid serotonin syndrome.

c. The client is the best person to determine when the drug therapy should end.

d. A 1- to 2-month taper period is indicated to prevent adverse effects of abrupt drug discontinuation.

Rationale: