- Following treatment with fluoxetine, a selective serotonin reuptake inhib-
itor for depression, Mary hardly sleeps, is hyperactive, easily distracted,
and appears elated. You would expect her physician to:
(a) continue the selective serotonin reuptake inhibitor.
(b) start a mood stabilizer.
(c) switch to a tricyclic antidepressant.
(d) add a monoamine oxidase inhibitor. - To clean a wound, it is best to use:
(a) hydrogen peroxide to bubble away the debris.
(b) tap water.
(c) saline.
(d) It is best not to disturb a healing wound. - Instructions for a patient at risk for testicular cancer include:
(a) restrict potassium, phosphate, sodium, protein in diet.
(b) self-catheterization of ileal reservoir.
(c) testicular self exam.
(d) change in color of urine is to be expected. - Paralytic ileus may occur as a postoperative complication. Which of the
following patients would cause you the greatest concern about the devel-
opment of paralytic ileus?
(a) Kim, a 27-year-old post-laparscopic appendectomy
(b) Joyce, a 39-year-old post-open right hemicolectomy
(c) Nancy, a 56-year-old post-mediastinoscopy
(d) John, a 47-year-old post-total joint replacement - Felicia’s family is concerned because Felicia states that she is hearing voices.
This is a sign of:
(a) bipolar disorder.
(b) schizophrenia.
(c) panic disorder.
(d) bulimia nervosa. - Your postoperative patient develops a cellulitis in her leg. Your nursing
treatments would include:
(a) keeping both her legs elevated as much as possible.
(b) encouraging ambulation as much as possible to help with the blood flow.
(^572) Medical-Surgical Nursing Demystified