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 B

Explanation

The correct answer is choice B.“I can breastfeed my baby while taking this medication.” Sertraline (Zoloft) is one of the preferred antidepressants to take when breastfeeding and has been used by many breastfeeding mothers without any problemsIt passes into breast milk in very small amounts and has been linked with side effects in very few breastfed babies

Choice A is wrong because sertraline can cause insomnia and taking it at bedtime might worsen this side effect

Choice C is wrong because dry mouth is a common and mild side effect of sertraline that does not require stopping the medication

Choice D is wrong because alcohol can interact with sertraline and increase the risk of side effects such as drowsiness, dizziness, and impaired coordination

A. Encourage the client to perform self-care activities independently. B. Advise the client to limit visitors and phone calls until she feels better. C. Provide positive feedback and reassurance to the client. D. Refer the client for counseling or therapy as needed. E. Educate the client and her family about the condition and available resources.

Correct Answer is ["C","E"]

Explanation

The normal ranges for postpartum depression are: • Edinburgh Postnatal Depression Scale (EPDS): a score of 10 or higher indicates possible PPD. • Patient Health Questioaire-9 (PHQ-9): a score of 5 or higher indicates mild depression, 10 or higher indicates moderate depression, 15 or higher indicates moderately severe depression, and 20 or higher indicates severe depression.

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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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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has postpartum depression and a prescription for sertraline (Zoloft). Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is planning care for a postpartum client who has postpartum depression. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

Correct Answer is ["C","E"]

Explanation

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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?