A nurse is conducting a home visit for a client who has postpartum depression and is taking paroxetine.

Which of the following statements by the client indicates an understanding of the medication?

“I will take this medication with food to prevent nausea.”

“I will drink plenty of fluids to avoid constipation.”

“I will avoid grapefruit juice while taking this medication.”

“I will taper off this medication gradually when I feel better.”

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Paroxetine is an antidepressant that belongs to the class of selective serotonin reuptake inhibitors (SSRIs).

It can cause withdrawal symptoms if stopped abruptly, such as nausea, dizziness, headache, and anxiety. Therefore, it is recommended to taper off this medication gradually when feeling better, under the guidance of a doctor.

Choice A is wrong because paroxetine does not usually cause nausea and does not need to be taken with food. Choice B is wrong because paroxetine does not cause constipation, but rather diarrhea as a common side effect. Choice C is wrong because paroxetine does not interact with grapefruit juice, unlike some other medications that are metabolized by the same enzyme. Grapefruit juice can increase or decrease the blood levels of some drugs, causing adverse effects or reduced efficacy.

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Correct Answer is C

Explanation

The correct answer is choice D. Serotonin syndrome.

Serotonin syndrome is a rare but serious condition that can occur when taking sertraline or other antidepressants that increase serotonin levels in the brain.It can cause symptoms such as agitation, confusion, muscle rigidity, fever, seizures and coma.

It requires immediate medical attention and can be life-threatening.

Choice A.Nausea is a common side effect of sertraline that usually improves over time or can be managed with anti-nausea medications.

It is not a serious concern unless it interferes with eating or drinking.

Choice B.Headache is another common side effect of sertraline that can be treated with painkillers such as paracetamol or ibuprofen.

It is not a sign of a serious problem unless it is severe or persistent.

Choice C.Insomnia is also a common side effect of sertraline that can be reduced by taking the medication in the morning or by avoiding caffeine and alcohol.

It is not a serious issue unless it affects your daily functioning or mental health.

Normal ranges for serotonin levels in the blood are 101–283 ng/mL.

Serotonin syndrome can occur when serotonin levels are too high, usually above 500 ng/mL.

A. “You should avoid taking this medication if you are breastfeeding.” B. “You should take this medication at bedtime to prevent insomnia.” C. “You should expect to see improvement in your mood within a week.” D. “You should stop taking this medication if you experience weight gain.”

Correct Answer is B

Explanation

The correct answer is choice B.The client should take sertraline at bedtime to prevent insomnia, which is a common adverse effect of this medication.

Sertraline is an antidepressant that belongs to the selective serotonin reuptake inhibitor (SSRI) class of drugs.

Choice A is wrong because sertraline is compatible with breastfeeding and does not pose a significant risk to the infant.

Choice C is wrong because sertraline may take several weeks to show improvement in the client’s mood.The nurse should advise the client to continue taking the medication as prescribed and report any adverse effects or suicidal thoughts.

Choice D is wrong because weight gain is a possible adverse effect of sertraline, but it is not a reason to stop taking the medication abruptly.

The nurse should instruct the client to monitor their weight and report any significant changes to the provider.Abrupt discontinuation of sertraline can cause withdrawal symptoms such as nausea, dizziness, headache, and irritability.

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A nurse is conducting a home visit for a client who has postpartum depression and is taking paroxetine. Which of the following statements by the client indicates an understanding of the medication?

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Explanation

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Correct Answer is B

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A nurse is conducting a home visit for a client who has postpartum depression and is taking paroxetine.

Which of the following statements by the client indicates an understanding of the medication?