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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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
The correct answer is choice D. Postpartum blues.This condition is characterized by feelings of sadness, lack of appetite, sleep pattern disturbances, feeling of inadequacies, crying easily for no apparent reason, restlessness, insomnia, fatigue, headache, anxiety, anger, sadness.It usually occurs within the first few days after delivery and resolves within 2 weeks.
Choice A is wrong because postpartum fatigue is not a specific condition but a common symptom that many postpartum women experience due to physical and emotional demands of childbirth and caring for a newborn.
Choice B is wrong because postpartum psychosis is a rare and severe mental disorder that affects about 0.1% to 0.2% of postpartum women.It involves symptoms such as pronounced sadness, disorientation, confusion, paranoia, hallucinations, delusions, and thoughts of harming oneself or the infant.It usually develops within the first 2 weeks after delivery and requires immediate medical attention.
Choice C is wrong because the letting-go phase is a psychological stage of postpartum adjustment that occurs around the third week after delivery.It involves accepting the reality of parenthood, relinquishing the fantasy of the ideal child, and establishing a new identity as a mother.
It does not involve tearfulness, insomnia, lack of appetite, or feeling of letdown.
Correct Answer is D
Explanation
The correct answer is choice D. All of the above.
The nurse should consider the woman’s preferences and needs, the availability and accessibility of services, and the cost and insurance coverage of services when making referrals for postpartum depression.
Choice A is wrong because it is not enough to consider only the woman’s preferences and needs.
The nurse should also take into account the practical aspects of accessing and affording the services.
Choice B is wrong because it is not enough to consider only the availability and accessibility of services.
The nurse should also respect the woman’s wishes and needs and help her find services that are suitable for her.
Choice C is wrong because it is not enough to consider only the cost and insurance coverage of services.
The nurse should also ensure that the services are available and accessible, and that they meet the woman’s preferences and needs.
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