A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the following statements by the client indicates an understanding of the teaching?
"I should expect to feel better after 24 hours of starting this medication."
"I should not take this medicine with grapefruit juice."
"I’ll take this medicine with food."
"I’ll take this medicine first thing in the morning."
The Correct Answer is D
Answer: D. "I’ll take this medicine first thing in the morning."
A. "I should expect to feel better after 24 hours of starting this medication."
This statement indicates a misunderstanding of the medication's pharmacodynamics. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), generally requires a minimum of 4 to 6 weeks to exhibit therapeutic effects in treating depression. Clients may initially experience side effects, such as nausea or changes in sleep patterns, before noticing any improvement in mood. It's crucial to educate clients about this timeline to manage expectations and encourage adherence to the medication regimen.
B. "I should not take this medicine with grapefruit juice."
This statement is incorrect. While grapefruit juice can affect the metabolism of many medications due to its action on cytochrome P450 enzymes, fluoxetine is not significantly impacted by grapefruit juice. Therefore, clients can consume grapefruit juice without the risk of altering the effectiveness or safety of fluoxetine. Providing accurate dietary information is essential to ensure clients feel confident in their dietary choices while on medication.
C. "I’ll take this medicine with food."
While clients may take fluoxetine with food to help minimize potential gastrointestinal upset, it is not strictly necessary. The medication can be effective whether taken with or without food. This flexibility allows clients to choose the method that works best for their individual tolerance and lifestyle, which can improve adherence and comfort.
D. "I’ll take this medicine first thing in the morning."
This is the correct understanding. Taking fluoxetine in the morning is generally recommended because the medication can cause insomnia or increased alertness in some individuals, particularly when initiated. By taking it in the morning, clients can avoid potential sleep disturbances at night, which is important for maintaining a regular sleep-wake cycle and overall well-being. Additionally, consistent timing can help improve adherence to the treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["8"]
Explanation
To calculate the flow rate in drops per minute (gtt/min), we first need to find the total number of drops (gtt) that will be infused over 3 hours and then divide by the total infusion time in minutes.
Given: Volume to infuse = 150 mL
Infusion time = 3 hours
Drop factor = 10 gtt/mL
First, let's find the total number of drops for the entire infusion:
Total drops = Volume × Drop factor
Total drops = 150 mL × 10 gtt/mL = 1500 drops
Now, let's find the infusion time in minutes: Infusion time (in minutes) = 3 hours × 60 minutes/hour = 180 minutes
Finally, let's calculate the flow rate:
Flow rate (gtt/min) = Total drops / Infusion time
Flow rate = 1500 drops / 180 minutes ≈ 8.33 gtt/min
Rounded to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 8 gtt/min.
Correct Answer is ["A","B","C"]
Explanation
A. Pharmacists: Pharmacists are healthcare professionals who are highly knowledgeable about medications, including their indications, dosages, contraindications, interactions, and administration routes. They play a crucial role in ensuring safe medication administration by providing accurate information and counseling to both healthcare providers and patients.
B. Published journals: Published journals contain peer-reviewed articles and research studies on various aspects of medication administration, including best practices, guidelines, new developments, and evidence-based recommendations. Healthcare professionals often refer to reputable journals to stay updated on the latest information and advancements in medication administration.
C. Physicians Desk Reference (PDR): The Physicians Desk Reference is a comprehensive reference book that provides information on prescription drugs, including their indications, dosages, side effects, and interactions. It is commonly used by healthcare providers as a reliable source of medication information to support safe prescribing and administration practices.
D. Pharmaceutical sales representatives: While pharmaceutical sales representatives may provide information about specific medications, their primary role is to promote and market pharmaceutical products. While they may offer valuable information about medication characteristics, their input may be biased toward promoting specific products rather than providing comprehensive and unbiased information about medication administration. Therefore, they are not typically considered acceptable references for safe medication administration.
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