A patient is prescribed 40 mg/day of Fluoxetine, administered once daily. If Fluoxetine is available in 20 mg capsules, how many capsules should the patient take each day?
0 capsules
3 capsules
1 capsule
2 capsules
The Correct Answer is D
Choice A reason: Zero capsules means the patient would not receive treatment.
Choice B reason: Three capsules equal 60 mg, which is an overdose compared to the prescribed 40 mg.
Choice C reason: One capsule equals 20 mg, which is only half the prescribed daily dose.
Choice D reason: Two capsules equal 40 mg, which matches the prescribed dose exactly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Risperidone more commonly causes orthostatic hypotension rather than hypertension, so this is misleading information.
Choice B reason: Constipation is a frequent adverse effect due to anticholinergic action. Increasing fluid and fiber is an appropriate teaching strategy to manage this side effect.
Choice C reason: Weekly blood tests are not required for risperidone; such monitoring is typically associated with clozapine due to the risk of agranulocytosis.
Choice D reason: Risperidone is more likely to cause weight gain and metabolic syndrome, not weight loss, making this response inaccurate.
Correct Answer is ["B","C"]
Explanation
Choice A reason:Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), typically takes several weeks (often 4 to 6 weeks) to produce noticeable improvements in depressive symptoms. Stating that effects will be seen in 2 to 3 days is inaccurate and sets unrealistic expectations for the client.
Choice B reason:Decreased sex drive is a common side effect of fluoxetine and other SSRIs, resulting from changes in serotonin levels affecting sexual function. Informing the client about this potential effect is important for adherence and managing expectations.
Choice C reason:Reduced appetite is a possible side effect of fluoxetine, particularly in the early stages of treatment, as SSRIs can affect appetite regulation. Including this in the teaching helps the client anticipate and manage this change.
Choice D reason:Drooling is not a recognized side effect of fluoxetine. SSRIs like fluoxetine are more likely to cause dry mouth or other gastrointestinal effects, making this an incorrect piece of information to include in the teaching.
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