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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. While dabigatran has limited options for reversal, educating the client about not abruptly discontinuing the medication is more critical to prevent thrombotic events.
B. Blood in the urine and stool is not normal and would indicate a possible complication, not a normal effect.
C. Abrupt discontinuation of dabigatran can lead to an increased risk of thromboembolism. It is crucial to educate the client about the importance of maintaining consistent use of the medication.
D. Dabigatran does not have significant food interactions that would be the priority concern over the risk of abrupt discontinuation.

A. Place sublingual tablets under the tongue until fully dissolved and do not swallow. B. Keep in original container to protect the medication from heat and light. C. Always replace the medication when past the expiration date. D. Take medication while lying or sitting and change positions slowly. E. Do not continue medication if headache results.

Correct Answer is ["A","B","C","D"]

Explanation

A. Sublingual nitroglycerin tablets should be placed under the tongue and allowed to dissolve to ensure proper absorption.
B. The medication should be kept in its original container to protect it from heat and light, which can degrade its effectiveness.
C. Nitroglycerin should be replaced regularly when it is past its expiration date to ensure its efficacy.
D. Taking nitroglycerin while lying or sitting can help prevent dizziness or fainting, and patients should change positions slowly to avoid orthostatic hypotension.
E. A headache is a common side effect of nitroglycerin, and it should not necessarily lead to discontinuation of the medication without consulting a healthcare provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing teaching with a client being discharged with a prescription for dabigatran. Which of the following is a priority in client education?

Correct Answer is C

Explanation

Which of the following would the nurse correctly include in client teaching about nitroglycerin (Nitrostat)? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

Which of the following is the federal statute that regulates drugs and medications in Schedules I through V?

The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions? (Select all that apply.)

The nurse is preparing instructions for a client with a new prescription for colesevelam [Welchol]. Which of the following will the nurse include in medication teaching?

A client is brought to the emergency department in acute alcohol withdrawal. Which of the following medications does the nurse anticipate will be ordered to prevent seizures and delirium tremens?

A patient has been brought to the emergency department by ambulance experiencing blood pressure 200/130 mmHg with chest pain. The nurse anticipates which of the following medications for immediate treatment of hypertension (Select all that apply.)

The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?

The nurse is evaluating the therapeutic effects of nitroglycerin transdermal patches prescribed to a client 6 months ago. Which of the following statements by the client would indicate that the medication is effective?

The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?