A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and has a new prescription for paroxetine (Paxil). Which of the following instructions should the nurse include?
"It can take several weeks before you feel like the medication is helping."
"You should take the medication when needed for obsessive urges."
"Take the medication just before bedtime to promote sleep."
"Monitor yourself for weight gain while taking this medication."
The Correct Answer is A
Choice A reason: Paroxetine, an SSRI, needs weeks to ease OCD symptoms. This fits nursing pharmacology education standards. It’s universally distinct, critical for patient expectations.
Choice B reason: PRN isn’t for SSRIs; daily use treats OCD effectively. This errors per nursing standards. It’s universally distinct, misrepresenting administration schedule.
Choice C reason: Bedtime isn’t key; paroxetine isn’t for sleep primarily. This choice misaligns with nursing pharmacology. It’s universally distinct, off OCD focus.
Choice D reason: Weight gain is secondary; delayed effect is primary teaching. This errors per nursing standards. It’s universally distinct, missing main point.
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Correct Answer is C
Explanation
Choice A reason: Lasix is given IV or orally, not subQ in the belly. Heparin fits this route, per nursing standards. This errors universally, distinctly missing subcutaneous administration.
Choice B reason: Digoxin is oral or IV, not subQ in the abdomen. Heparin is correct, per nursing pharmacology. This misaligns universally, distinctly unrelated to belly injections.
Choice C reason: Heparin is injected subQ in the belly, 2 inches from umbilicus, for anticoagulation. This matches, per nursing standards. It’s universally applied, distinctly effective.
Choice D reason: Phenobarbital is oral or IV, not subQ in the belly. Heparin suits this, per nursing pharmacology. This errors universally, distinctly off-target for route.
Correct Answer is C
Explanation
Choice A reason: Reading diluent instructions ensures proper reconstitution; it’s required. Discarding multidose isn’t, per nursing pharmacology. This is universally distinct, a necessary step.
Choice B reason: Refrigeration maintains stability post-reconstitution; it’s standard practice. Throwing multidose vials isn’t, per nursing standards. This holds universally, distinctly for storage.
Choice C reason: Multidose vials are reusable if sterile; discarding after one dose is wrong. This is the exception, per nursing pharmacology. It’s universally distinct, errors in use.
Choice D reason: Wiping with alcohol ensures sterility before needle entry; it’s essential. Discarding multidose isn’t, per nursing standards. This is universally distinct, a safety step.
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