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. Decreased libido is a potential adverse effect of finasteride due to its action on reducing dihydrotestosterone levels.
B. Prostate-specific antigen (PSA) levels typically decrease while taking finasteride, not increase. It's important for the nurse to educate the client about the potential impact of finasteride on PSA levels and the interpretation of PSA tests.
C. Avoiding grapefruit juice is not specifically relevant to the use of finasteride. Grapefruit juice can interact with certain medications by affecting their metabolism, but this is not a concern with finasteride.
D. The effects of finasteride on BPH symptoms may take several months to become noticeable.

A. Notify your provider if you experience a sore throat or fever while taking this medication. B. Urine that is dark yellow or orange is an expected adverse effect of this medication. C. Take the medication with an antacid to decrease stomach upset. D. You might experience bleeding gums while taking this medication.

Correct Answer is A

Explanation

A. Azithromycin is an antibiotic commonly used to treat infections such as chlamydia. While it's generally well-tolerated, it can rarely cause serious side effects such as allergic reactions or severe skin reactions. Sore throat or fever may indicate such adverse effects, and patients

should be instructed to contact their healthcare provider immediately if they experience these symptoms.
B. Dark yellow or orange urine is not a typical side effect of azithromycin. It can be caused by drugs such as rifampin.
C. Taking azithromycin with an antacid is generally not necessary and may interfere with the absorption of the medication. It's usually recommended to take azithromycin on an empty stomach, at least 1 hour before or 2 hours after meals, unless otherwise directed by a healthcare provider.
D. Bleeding gums are not a common side effect of azithromycin. If a patient experiences unusual bleeding or bruising, they should seek medical attention, but this symptom is not specifically associated with azithromycin use.

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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

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Correct Answer is A

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