A nurse is caring for a client in the outpatient health clinic. Exhibits For each potential nursing Intervention. click to specify if the intervention is indicated or not indicated.
Explanation & Rationale
Indicated: Encourage high-calorie finger food: The client has experienced weight loss and decreased appetite, which can occur with depression. Offering high-calorie, easy-to-eat foods helps maintain adequate nutrition and prevents further weight loss. Advise client to rise slowly from a sitting position: Trazodone can cause orthostatic hypotension due to its alpha-adrenergic blocking effects. Advising the client to rise slowly reduces the risk of dizziness or falls when standing. Advise client to notify the provider if pregnant: Trazodone is contraindicated in pregnancy due to potential risks to the fetus. The client should inform the provider if pregnancy occurs or is suspected. Encourage a regular sleep-wake schedule Maintaining a consistent bedtime and wake time improves sleep hygiene, supports trazodone’s effectiveness for insomnia, and helps regulate mood and energy levels. Not Indicated: Instruct client to avoid foods that have been fermented or aged: This dietary restriction is necessary for clients taking monoamine oxidase inhibitors (MAOIs), not trazodone. Trazodone does not require tyramine restriction, so this intervention is unnecessary. Encourage naps during the day when the client is tired: Daytime napping can disrupt nighttime sleep and worsen insomnia. The focus should be on promoting a consistent sleep routine rather than allowing extra daytime sleep. Encourage client to sleep until later in the morning: Sleeping late can interfere with the circadian rhythm and reduce sleep quality. A consistent wake-up time is more beneficial for improving sleep patterns and mood.