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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A nurse collecting data for a client following electroconvulsive therapy should expect that the client may experience confusion as an adverse effect. Confusion is a common side effect of electroconvulsive therapy and can last for minutes to hours after treatment.
The other options are not typical adverse effects of electroconvulsive therapy.
a) Vomitingis not a typical adverse effect of electroconvulsive therapy.
c) Incontinenceis not a typical adverse effect of electroconvulsive therapy.
d) Tinnitusis not a typical adverse effect of electroconvulsive therapy.
Correct Answer is B
Explanation
A nurse collecting data on a client who has swelling of the lower leg should identify that moderate pain on the ankle of the affected extremity is a manifestation of compartment syndrome. Compartment syndrome is a painful condition that occurs when pressure within a muscle compartment increases to dangerous levels.
The other options are not typical symptoms of compartment syndrome.
a) An affected extremity being warm to touchis not a typical symptom of compartment syndrome.
c) A blanch time of 2 seconds in the toenail beds of the affected extremity is not a typical symptom of compartment syndrome.
d) Palpation of a +1 dorsal pedal pulse of the affected extremity is not a typical symptom of
compartment syndrome.
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