A nurse is caring for a client who is taking fluoxetine (Prozac). Which of the following adverse effects should the nurse monitor for?
Hypertension
Bradycardia
Diarrhea
Urinary retention.
The Correct Answer is C
The correct answer is choice C. Diarrhea. Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI) that can cause gastrointestinal disturbances such as nausea, vomiting, and diarrhea.
The nurse should monitor the client for these adverse effects and advise them to take the medication with food and increase their fluid intake.
Choice A is wrong because hypertension is not a common adverse effect of fluoxetine. Fluoxetine can cause hypotension, especially when taken with other antihypertensive medications.
Choice B is wrong because bradycardia is not a common adverse effect of fluoxetine. Fluoxetine can cause tachycardia, palpitations, and arrhythmias in some cases.
Choice D is wrong because urinary retention is not a common adverse effect of fluoxetine. Fluoxetine can cause urinary frequency, urgency, and incontinence in some cases.
Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, and for respiratory rate are 12 to 20 breaths per minute.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Citalopram (Celexa) is a selective serotonin reuptake inhibitor (SSRI) that can cause insomnia as a side effect.Taking the medication in the morning can help reduce this effect and improve the client’s sleep quality.
Choice B is wrong because the client should not stop taking citalopram abruptly, as this can cause withdrawal symptoms such as dizziness, nausea, headache, and irritability.
The client should consult with the provider before discontinuing any medication.
Choice C is wrong because taking citalopram at night can worsen the insomnia and interfere with the client’s rest and recovery.
Choice D is wrong because taking citalopram with food does not affect its absorption or efficacy. The client can take citalopram with or without food according to their preference.
Normal ranges for citalopram are 20 to 40 mg per day for adults.The therapeutic plasma level is 40 to 120 ng/mL.
The client should have regular blood tests to monitor the drug level and avoid toxicity.
Correct Answer is D
Explanation
Seizures.According to web search results, bupropion (Wellbutrin) is an antidepressant that can lower the seizure threshold and increase the risk of seizures in clients who have a history of head injury, brain tumor, or eating disorders. Therefore, the nurse should monitor the client for any signs of seizure activity and report them to the provider.
Choice A is wrong because hypertension is not a common adverse effect of bupropion.However, bupropion can cause tachycardia, agitation, insomnia, and headache.
Choice B is wrong because bradycardia is not an adverse effect of bupropion.Bupropion can cause tachycardia as a result of its stimulating effect on the central nervous system.
Choice C is wrong because diarrhea is not an adverse effect of bupropion.Bupropion can cause dry mouth, constipation, nausea, and vomiting.
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