A nurse is reinforcing teaching with a client who was newly prescribed paroxetine (Paxil) (an SSRI) for treatment of panic disorder.
Sort the following information by what the nurse should include vs what not to include.
Take this medication just before bedtime to promote sleep.
Herbal medication can be combined with this medication.
Monitor for weight changes while taking this medication.
It can take several weeks before you feel like the medication is helping.
Correct Answer : A,C
Choice A rationale
Paroxetine (Paxil) is an SSRI used for the treatment of panic disorder. It can be taken with or without food. Taking it at bedtime can help manage some side effects like nausea and drowsiness.
Choice B rationale
Combining herbal medication with paroxetine is not recommended without consulting a healthcare provider. Some herbal supplements can interact with paroxetine and cause serious conditions like serotonin syndrome.
Choice C rationale
Weight changes are a possible side effect of paroxetine. Therefore, monitoring for weight changes while taking this medication is important.
Choice D rationale
It’s important to note that it can take several weeks before the patient feels like the medication is helping. This is a normal part of the process and patients should be encouraged to continue taking the medication as prescribed, even if they don’t feel immediate relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Misoprostol (Cytotec) is contraindicated in pregnant women because it can induce labor or cause miscarriages. It is sometimes used in obstetrics to induce labor or to treat postpartum hemorrhage, but it should never be used in pregnant women to treat peptic ulcers.
Choice B rationale
There is no contraindication for using misoprostol in a client who has osteoarthritis.
Choice C rationale
Misoprostol does not interact with medications typically used to treat urinary tract infections, and there is no contraindication for its use in these clients.
Choice D rationale
Misoprostol does not interact with medications typically used to treat kidney stones, and there is no contraindication for its use in these clients.
Correct Answer is C
Explanation
Choice A rationale
Barbiturates are a class of drugs primarily used as sedatives and anesthetics. They are not typically used in the treatment of depression or anxiety disorders.
Choice B rationale
Rebound insomnia is a term used to describe a condition where a person experiences insomnia as a withdrawal symptom after discontinuing use of a sleep aid, particularly those in the benzodiazepine family. It is not a type of medication used to treat depression or anxiety disorders.
Choice C rationale
Antidepressants are indeed used for the treatment of depression and a range of anxiety disorders including panic, social phobia, and post-traumatic stress disorder. They work by increasing the levels of certain chemicals in the brain, such as serotonin, norepinephrine, and dopamine, which are involved in mood regulation.
Choice D rationale
Anxiolytics are a class of medications used to treat anxiety disorders. However, they are not typically used to treat depression.
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