Ms. Janna Doe is a 21-year-old female who presents to your c…

Ms. Janna Doe is a 21-year-old female who presents to your clinic with complaints of “feeling sad”. She reports her symptoms have progressively worsened over the past 3 months. She states her symptoms began after her grandfather passed away and she and her boyfriend broke up. She states she feels sad or down most of the time and often cries for no reason. She states all she wants to do is sleep, and no matter how much she sleeps she still wakes up feeling tired. Janna is a full-time college student and states she has had trouble concentrating in class and her grades are beginning to suffer. She states she once enjoyed spending time with her friends and going to college events, but she no longer finds enjoyment in these activities. Janna denies any associated suicidal or homicidal thoughts. She denies any associated auditory or visual hallucinations. Janna denies tobacco or illicit drug use but reports occasional alcohol use (1-2 drinks a few times per month). She states she is not currently sexually active and denies current pregnancy.   Physical exam: Temp 98.8° F, BP 118/70, HR 75, RR 18, 02 Sat 100%. Well-appearing and well-nourished. Tearful. Disheveled appearance   Describe an initial treatment plan for this patient including non-pharmacologic and pharmacologic interventions . Select all that apply. 

A client presents to the clinic with symptoms of hyperthermi…

A client presents to the clinic with symptoms of hyperthermia and diaphoresis. The client’s prescription history includes escitalopram (Lexapro), St. John’s wort, dextromethorphan (Delsym) and tramadol (Ultram), and acetaminophen. Which should the nurse suspect has occurred?