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. Hypertension is not a side effect but a condition that these medications are used to treat. ACE inhibitors and ARBs are primarily used to manage hypertension.
B. Both ACE inhibitors and ARBs are used to treat heart failure, not just ACE inhibitors.
C. Both ARBs and ACE inhibitors can affect potassium levels, and ACE inhibitors can impact white blood cell counts. Monitoring is required.
D. Both ARBs and ACE inhibitors are contraindicated during pregnancy due to potential risks to the fetus, such as renal damage and other complications.
Correct Answer is D
Explanation
A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.
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