A nurse is reviewing the medication record of a client who has a new prescription for ﬂuoxetine. Which of the following medications should the nurse expect the provider to discontinue 2 weeks before starting ﬂuoxetine treatment?

Levothyroxine

Acetaminophen

Simvastatin

Phenelzine

Answer and Explanation

The Correct Answer is D

The nurse should expect the provider to discontinue phenelzine 2 weeks before starting ﬂuoxetine treatment. Phenelzine is a monoamine oxidase inhibitor (MAOI) and should not be taken with ﬂuoxetine, which is a selective serotonin reuptake inhibitor (SSRI). Taking these two medications together can cause a dangerous drug interaction known as serotonin syndrome.

a) Levothyroxine is a thyroid hormone replacement medication and does not interact with ﬂuoxetine.

b) Acetaminophen is a pain reliever and does not interact with ﬂuoxetine.

c) Simvastatin is a cholesterol- lowering medication and does not interact with ﬂuoxetine.

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Correct Answer is A

Explanation

Chronic constipation is a common finding in clients with hemorrhoids. Constipation can increase pressure on the veins in the rectum and anus, leading to the development of hemorrhoids.

The other options are not correct because:

b) Excessive ﬂatulence is not mentioned as a common finding in clients with hemorrhoids.

c) Frequent stools are not mentioned as a common finding in clients with hemorrhoids.

d) Fecal incontinence is not mentioned as a common finding in clients with hemorrhoids.

A. FACES Scale B. FLACC Scale C. Color tool D. Numeric scale

Correct Answer is B

Explanation

b. FLACC Scale.

Explanation: The FLACC (Face, Legs, Activity, Cry, Consolability) Scale is a pain assessment tool commonly used for infants and young children who are unable to self-report their pain. It assesses five categories of behavior: facial expression, leg movement, activity level, cry, and consolability. Each category is scored from 0 to 2 or 0 to 3, depending on the specific scale used. The scores are then totaled to provide an overall pain assessment.

The FACES Scale, also known as the Wong-Baker FACES Pain Rating Scale, is a tool commonly used for children who can understand and self-report their pain. It consists of a series of faces with diﬀerent expressions representing varying degrees of pain.

The Color tool is not a recognized pain rating tool. It may refer to an assessment of skin color, which can be used to assess oxygenation or circulation but not specifically for pain.

The Numeric scale is a pain rating tool that involves asking the individual to rate their pain on a scale from 0 to 10, with 0 being no pain and 10 being the worst pain imaginable. However, this scale may not be suitable for a 3-month-old infant who is unable to comprehend numbers or communicate eﬀectively.

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A nurse is reviewing the medication record of a client who has a new prescription for ﬂuoxetine. Which of the following medications should the nurse expect the provider to discontinue 2 weeks before starting ﬂuoxetine treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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