A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?
Assess the patient for gastrointestinal side effects.
Monitor the patient closely for signs of mania.
Administer the medication as ordered
Educate the patient about potential weight gain
The Correct Answer is B
A. While gastrointestinal side effects are common with fluoxetine, they are not the priority concern in the context of bipolar disorder.
B. Fluoxetine (Prozac) is an SSRI used to treat depression, but in patients with bipolar disorder, it can trigger a manic episode. Therefore, the nurse's priority is to monitor for signs of mania, such as increased energy, euphoria, or impulsivity.
C. Administering the medication as ordered is essential, but the nurse must be vigilant for signs of mania, especially with SSRIs in bipolar patients.
D. Educating about weight gain is important but does not address the immediate risk of precipitating mania with fluoxetine in a bipolar patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A structured schedule may help with overall daily functioning, but it does not specifically address the compulsive behavior.
B. Educating the client about the irrationality of the behavior is unlikely to reduce the compulsions, as this is a hallmark of OCD, where the individual is often unable to control the urges despite understanding their irrationality.
C. Collaborating with the client to set realistic, gradual goals for changing the compulsive behavior is key in treating OCD. This approach allows the client to have input into their treatment plan and promotes realistic, achievable progress.
D. Encouraging the client to resist the urge to rearrange items without providing a structured approach may lead to increased anxiety and frustration. Gradual exposure and behavior modification are more effective.
Correct Answer is ["0.8"]
Explanation
Volume (mL) = Dose (mg) / Concentration (mg/mL)
In this case:
- Dose = 30 mg
- Concentration = 40 mg/mL
So, Volume = 30 mg / 40 mg/mL = 0.75 mL
Therefore, the nurse should administer 0.8 mL of enoxaparin.
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