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
Applying heat to the affected joints can help relieve pain and stiffness ¹. A heating pad or warm compress
can be used to apply heat to the hands.
The other options are not correct because:
a) Sleeping on a soft mattress is not mentioned as a way to manage osteoarthritis symptoms.
b) spirin should be taken with food or milk to reduce stomach irritation .
c) Exercising inflamed joints excessively can worsen symptoms. It is important to balance rest and activity.
Correct Answer is C
Explanation
The correct answer and explanation is:
c. Denial
The nurse should identify that the client is experiencing the stage of denial in the grief process. Denial is a common psychological defense mechanism that individuals may exhibit when faced with a stressful or overwhelming situation, such as the prospect of open heart surgery. It involves a refusal to accept or acknowledge the reality of the situation. In this case, the client's statement of being confident to go home shortly after surgery demonstrates a denial of the potential challenges and recovery process associated with such a procedure.
Explanation for the other options:
A . Anger: Anger is a stage of grief characterized by feelings of resentment, frustration, and hostility. It is common for individuals to experience anger as part of the grief process, but the client's statement does not indicate anger.
B. Depression: Depression is another stage of grief marked by feelings of sadness, hopelessness, and loss. While it is normal for individuals to experience some level of anxiety or sadness before undergoing surgery, the client's statement does not specifically reflect depression.
d. Acceptance: Acceptance is the final stage of grief, where individuals come to terms with their situation and find a sense of peace or resolution. The client's statement indicates a lack of acceptance as they are denying the potential impact of the surgery and its recovery process.
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