A client prescribed fluoxetine (Prozac) returns to the clinic one week after beginning therapy and states, "This drug is not working, I am still very sad." Which of the following would be the nurse's best response?

"We need to add another drug with this one to help."

"This drug could take 1-3 weeks to begin working."

"Let me call the provider to switch to a different antidepressant."

"This drug could take 4-6 weeks to begin working."

Answer and Explanation

The Correct Answer is D

A. Adding another drug is premature; fluoxetine may need more time to show effects.
B. While some antidepressants may show effects in 1-3 weeks, fluoxetine typically requires a full 4-6 weeks to demonstrate its therapeutic effects.
C. Switching to another antidepressant after only one week may be premature; fluoxetine often takes longer to be effective.
D. Antidepressants like fluoxetine generally take 4-6 weeks to show significant effects, so patience is necessary for the medication to reach its full potential.

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Correct Answer is A

Explanation

A. Clozapine requires regular monitoring of the white blood cell count due to the risk of agranulocytosis, a potentially serious side effect.
B. While potassium levels are important, they are not the primary concern with clozapine administration.
C. BUN/Creatinine levels are monitored for kidney function but are not specific to clozapine.
D. Sodium levels are not the primary concern with clozapine administration.

A. "Swallow the medication whole and do not cut, crush, or chew the medication." B. "Take your blood pressure in the morning." C. "Use caution with over-the-counter (OTC) cold medications." D. "Take the medication before bedtime."

Correct Answer is A

Explanation

A. Nifedipine [Adalat XL] is a long-acting calcium channel blocker, and it should be swallowed whole to maintain its extended-release properties and ensure proper absorption.
B. Blood pressure should be monitored regularly, but taking it in the morning is not specifically related to nifedipine's use.
C. While caution with OTC medications is generally good advice, it is not specific to nifedipine.
D. The timing of the medication (morning vs. bedtime) is not typically specified unless otherwise directed by the healthcare provider.

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A client prescribed fluoxetine (Prozac) returns to the clinic one week after beginning therapy and states, "This drug is not working, I am still very sad." Which of the following would be the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a medical prescription for clozapine [Clozaril]. The nurse knows which of the following is the priority laboratory value that should be reviewed prior to medication administration?

Correct Answer is A

Explanation

A client has a medical prescription for nifedipine [Adalat XL]. Which of the following should the nurse teach the client about this medication?

Correct Answer is A

Explanation

A client is being discharged with a new prescription for propranolol [Inderal LA]. Which of the following must be included in discharge instructions?

The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

A client is admitted to a hospital for treatment for first-time acute symptoms of mania. The nurse anticipates the provider will prescribe which of the following medications?

A client who wants to quit smoking has a new prescription for varenicline [Chantix]. The nurse will instruct the client to notify the provider immediately with which of the following?

Which of the following is the federal statute that regulates drugs and medications in Schedules I through V?

The nurse is assessing a client who suffers from panic disorder. Which SNRI drug can induce remission and prevent relapse for this disorder?

The nurse will administer which of the following to a hospitalized client experiencing difficulty falling asleep for short-term management of insomnia?

The clinic nurse is teaching a community class about Angiotensin-Converting Enzyme (ACE) inhibitors and Angiotensin II Receptor Blockers (ARBs). Which of the following should be included in the teaching?