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 D
Explanation
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.
Correct Answer is A
Explanation
A. Captopril (Capoten) is an ACE inhibitor known to cause a persistent dry cough as a common side effect due to the accumulation of bradykinin.
B. Nifedipine (Adalat) is a calcium channel blocker and typically does not cause a dry cough.
C. Verapamil (Calan) is also a calcium channel blocker and is not associated with a dry cough.
D. Propranolol (Inderal) is a beta-blocker and does not usually cause a dry cough.
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