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.”
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 D
Explanation
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.
Correct Answer is B
Explanation
Answer and explanation..
The correct answer is choice B. The client has a family history of bipolar disorder.According to the American Psychological Association, a family history of depression or mental illness is one of the risk factors for postpartum depression.Postpartum depression is a mood disorder that affects some women after giving birth and can cause symptoms such as sadness, anxiety, irritability, guilt, and difficulty bonding with the baby.
Choice A is wrong because an uncomplicated vaginal delivery is not a risk factor for postpartum depression.In fact, complications during childbirth can increase the risk of developing this condition.
Choice C is wrong because being 25 years old and primiparous (having given birth for the first time) is not a risk factor for postpartum depression.However, age can be a factor if the mother is very young or older than average.
Choice D is wrong because planning and desiring the pregnancy is not a risk factor for postpartum depression.On the contrary, having an unplanned or unwanted pregnancy can increase the risk of developing this condition.
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