A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

"I'll need to report weight loss or gain to my provider while taking this medication."

"I can stop taking this medication if I'm feeling better after the first month."

“I should avoid eating cheese while taking this medication."

"I'll take my second dose of this medicine at bedtime."

Answer and Explanation

The Correct Answer is A

A. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can cause changes in weight.

Reporting weight changes to the healthcare provider is important for monitoring and managing potential side effects.

B.   Fluoxetine and other antidepressants should not be stopped abruptly without consulting a healthcare provider, even if the client starts feeling better. Abrupt discontinuation can lead to withdrawal symptoms and worsening of depression.
C.   Fluoxetine does not typically interact with cheese or tyramine-containing foods. This statement reflects a misunderstanding of the medication's dietary restrictions.
D.   Fluoxetine is usually taken once daily in the morning due to its potential to cause insomnia as a side effect. Taking it at bedtime may exacerbate sleep disturbances.

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Correct Answer is A

Explanation

A. A lithium level of 1.2 mEq/L falls within the therapeutic range (0.6-1.2 mEq/L) for the treatment of bipolar disorder. Therefore, the nurse should administer the regular dose of lithium as prescribed and closely monitor the client for any side effects.
B. Repeating the lithium level is unnecessary because the current level is within the therapeutic range. Repeated testing may be warranted if the level is outside the therapeutic range or if there are clinical concerns.
C. This action is not indicated for a lithium level within the therapeutic range. ECG and seizure precautions are typically reserved for lithium toxicity, which presents with levels above the therapeutic range.
D. Increasing the dose of lithium is not warranted when the current level is within the therapeutic range. Doing so could increase the risk of toxicity.

A. "Diazepam can cause drowsiness." B. "A single dose of diazepam is unlikely to cause side effects." C. "Grapefruit juice inactivates this medication." D. "Avoid foods that contain tyramine."

Correct Answer is A

Explanation

A. Diazepam, a benzodiazepine, is known to cause drowsiness and sedation as a common side effect. Patients should be advised to avoid activities requiring mental alertness, such as driving or operating machinery, until they understand how the medication affects them.
B. Even a single dose of diazepam can cause side effects such as drowsiness, dizziness, and impaired coordination. Patients should be aware of potential side effects regardless of the number of doses taken.
C. While grapefruit juice can interact with certain medications by affecting their metabolism, it doesn't directly inactivate diazepam. However, it may increase the risk of side effects by altering the metabolism of the medication, leading to higher blood levels.
D. Tyramine is not typically a concern with diazepam. Tyramine-containing foods are more relevant in the context of monoamine oxidase inhibitors (MAOIs), a different class of medications used to treat depression.

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A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who takes diazepam. Which of the following information should the nurse the nurse include?

Correct Answer is A

Explanation

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