ASSESSMENT B WITH CORRECT
ANSWERS RATED A+
Thesnursesisscaringsforsasclientsinsasmentalshealthsclinic.
ProvidersPrescriptions
1230:
BupropionsXRs150smgsdailysoncesdailysinsAMsforsthreesdayssthensincreasestos150smgstwicesdaily.
Assessment
1200:
Clientsheresforsscheduledsvisitstosdiscusssmood.sClientsreportsstheyswerespreviouslysprescribedssert
ralinesforsdepression,showeverstaperedsoffsthatsmedications6smonthssago.sClientsstatess"Itsmadesm
esgainsweightsandsitscompletelystooksawaysmyssexsdrive,ssosIsstoppedstakingsit."sThesclientsreportss"
Mysdepressionshassjustsgottenssosbad.sIshavesbeensseeingsascounselorsandstheysencouragedsmestoss
eesasprovidersaboutstryingsasdifferentsmedication."
1230:
ProvidersPrescriptionssreceived.sVisitssummarysreviewedswithsclientstosdiscusssthesnewlysprescribe
dsmedication.sClientshassasfollow-
upsvisitswithsprovidersins3sweekssandscontinuesswithsweeklyscounseling.
Forseachsbodyssystemsbelow,sclickstosspecifysthesadvers-sCORRECTsANSWERSsGenitourinary-
schangessinslibidos
GI-sconstipationsmetabolic-swtsloss
Rationale:s
,Whenstakingsaction,sthesnursesshouldseducatesthesclientsaboutspotentialsadverseseffectssofsbuprop
ion.sCommonsadverseseffectssofsthissmedicationsincludeschangessinslibido,sconstipation,sandsweigh
tsloss.
Asnursesisscaringsforsasclientsinsasclinic.
Nurses'sNotes
3smonthssago:
Clientswasseducatedsonsnon-
pharmacologicalsinterventionsstoslowersbloodspressuressuchsassexercisesandsaslow-fat,slow-
sodiumsdietswithsfreshsfruitssandsvegetables.sClientstosreturnstosofficesforsasfollow-
upsvisitsins3smonths.
Today:
Bloodspressuresissstillselevated.sProvidersnotifiedsandsprescriptionsgivenstosthesclient.sThesclientswa
sseducatedsonsthesmedication.
VitalsSigns
3smonthssago:
Temperatures36.7°sCs(98°sF)
Pulses75/min
RespiratorysRates16/min
BloodsPressures130/81smmsHg
OxygensSaturations99%sonsroomsair
Today:
Temperatures36.4°sCs(97.5°sF)
Pulses77/min
RespiratorysRates16/min
BloodsPressures148/90smmsHg
OxygensSaturations98%sonsroomsair
,ProvidersPrescriptions
Today:
Captoprils12.5smgstwicesasdaysbysmouth
Whichsclientsstatementssindicatesansunderstandingsofsthesteaching?sClickstosspecifysifsthesclientssta
tementsindicatessansundersts-sCORRECTsANSWERSs"IswillsnotifysmysprovidersifsIsfeelssick."-
Understanding
"Iswillseatsfoodsshighsinspotassium."
-Needsforsfurtherseducation
"Isshouldstakesthissmedicationswithsmeals."
-Needsforsfurtherseducation
"Coughingsissexpectedswhilestakingsthissmedication."-Needsforsfurtherseducation
"Isshouldstakesacetaminophensinsteadsofsibuprofensforsasheadache."s-Understanding
Rationale:s
Whensevaluatingsoutcomes,sthesnursesshouldsidentifysthatsthesclient'ssstatements:s"Iswillsnotifysmy
sprovidersifsIsfeelssick"sands"Isshouldstakesacetaminophensinsteadsofsibuprofensforsasheadache"sindi
catesansunderstandingsofsteaching.sCaptoprilscanscausesneutropenia.sIfsasclientsdevelopssmanifesta
tionssofsinfectionssuchsassasfeversorssoresthroat,sthesprovidersshouldsbesnotified.sNSAIDSssuchsassibu
profensmaysreducestheseffectivenesssofscaptoprilsandsshouldsbesavoided.sThesnursesshouldsidentify
sthatsthesclient'ssstatements:s"Iswillseatsfoodsshighsinspotassium,"s"Coughingsissexpectedswhilestakin
gsthissmedication,"sands"Isshouldstakesthissmedicationswithsmealssindicatesasneedsforsfurtherseduca
tion.sHyperkalemiasissansadverseseffectsofscaptopril.sThesclientsshouldsavoidspotassiumssupplemen
tssandspotassium-
, sparingssupplements.sCoughingsissansadverseseffectsofscaptoprilsandsthesnursesshouldsnotifysthespr
ovider.sCaptoprilsshouldsbesgivensoneshoursbeforesmealssorstwoshourssaftersmeals.
Asnursesisscaringsforsasclientsinsasclinicsandsissreviewingstheirselectronicsmedicalsrecords(EMR).
Nurses'sNotes
3smonthssago:
Clientswassprescribedsatorvastatinsbysprovider.sClientswasseducatedstoscontinueseatingsasdietslowsin
ssaturatedsfatssandstosparticipatesinsregularsexercise.sClientsisstosreturnstosthesofficesins3smonthssfors
asfollow-upsvisit.
Today:
Clientsheresforsasfollow-
upsvisit.sClientsreportsslastsbowelsmovementswass1sdaysago,sincreasedsappetite,sandsdarksurinesupo
nsurination.sClientsreportsshavingssomesmusclesweaknessswhensworkingsoutside.sSkinsisswarm,sdry,
sandsintact.sColorsconsistentswithsgeneticsbackground.sClientsstates,s"Isamssleepingssosmuchsbetters
andsseemstoshavesincreasedsenergy,sbutsIssometimessgetslightheaded."sClientsdeniessheadache.sWi
llsreportsassessmentsfindingsstosthesprovider.
ProvidersPrescriptions
3smonthssago:
Atorvastatins40smgsoncesdailysbysmouth
Forseachsbodyssystemsbelow,sclis-sCORRECTsANSWERSsGastrointestinal/Genitourinary-
surinescharacteristics
Musculoskeletal/Integumentary-smusclesweakness
Neurological-sdizziness
Rationale: