A client prescribed fluoxetine (Prozac) returns to the clinic one week after beginning therapy and states, "This drug is not working, I am still very sad." Which of the following would be the nurse's best response?
"We need to add another drug with this one to help."
"This drug could take 1-3 weeks to begin working."
"Let me call the provider to switch to a different antidepressant."
"This drug could take 4-6 weeks to begin working."
The Correct Answer is D
A. Adding another drug is premature; fluoxetine may need more time to show effects.
B. While some antidepressants may show effects in 1-3 weeks, fluoxetine typically requires a full 4-6 weeks to demonstrate its therapeutic effects.
C. Switching to another antidepressant after only one week may be premature; fluoxetine often takes longer to be effective.
D. Antidepressants like fluoxetine generally take 4-6 weeks to show significant effects, so patience is necessary for the medication to reach its full potential.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypercalcemia is not a typical side effect associated with the combination of digoxin and furosemide.
B. Hypokalemia is a significant concern when administering digoxin with furosemide because furosemide is a loop diuretic that can lead to potassium loss. Low potassium levels increase the risk of digoxin toxicity.
C. Hypocalcemia is not a typical concern with these medications.
D. Hyponatremia can occur with furosemide, but it is not the primary concern when monitoring the effects of digoxin.
Correct Answer is A
Explanation
A. Calcium channel blockers can cause or exacerbate heart failure due to their effects on myocardial contractility and fluid balance. Monitoring for signs of worsening heart failure is crucial.
B. While drowsiness can occur, it is not typically considered a dangerous side effect of calcium channel blockers.
C. Headache is a common side effect of CCBs, but not usually dangerous compared to heart failure.
D. Calcium channel blockers are used to treat hypertension, so they typically would not cause dangerous hypertension.
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