A nurse is reinforcing teaching with a client who has a history of depression about a new prescription for fluoxetine.
Which statement by the client indicates understanding of the teaching?
“I will increase my water intake up to 8 glasses a day.”
“I may experience sedation and sleepiness.”
“I will notice an improvement in my sex drive.”
“I should expect to feel better within 3 to 4 days.”
The Correct Answer is B
Choice A rationale:
Increased water intake is not a specific teaching point for fluoxetine. While general hydration is important for overall health, it's not directly related to the medication's effectiveness or side effects.
Fluoxetine is not known to cause dehydration or require fluid intake beyond typical recommendations.
Focusing on water intake could potentially distract from more relevant education about the medication.
Choice B rationale:
Sedation and sleepiness are common side effects of fluoxetine, especially during the initial weeks of treatment.
It's important for the client to be aware of these potential side effects so they can make necessary adjustments to their activities, such as avoiding driving or operating machinery if drowsy.
Understanding that these side effects are expected can also help with adherence to treatment, as clients may be less likely to discontinue the medication if they know that the side effects are likely to subside over time.
Choice C rationale:
Fluoxetine can sometimes cause sexual side effects, such as decreased libido or difficulty achieving orgasm.
It's important for the client to be aware of this potential side effect, but it's not accurate to say that they will definitely notice an improvement in their sex drive.
Sexual side effects can be distressing and may impact treatment adherence, so open communication with the healthcare provider is essential if these issues arise.
Choice D rationale:
Fluoxetine can take several weeks, typically 4-6 weeks, to fully exert its therapeutic effects.
Expecting to feel better within 3-4 days could lead to disappointment and frustration if symptom improvement isn't immediately noticeable.
It's important for the client to understand that patience is needed while the medication takes effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale: Telling the client to work hard to stay on the schedule does not address the underlying reasons for the client's difficulty in following a medication regimen and may come off as dismissive.
Choice B rationale: Saying not to worry about the past does not acknowledge the client's concerns and may not provide practical assistance for future adherence.
Choice C rationale: Offering reassurance without addressing the client's past challenges does not provide a concrete plan for improving adherence.
Choice D rationale: Asking the client why they find it difficult to take medications opens a dialogue that allows the nurse to understand the client's specific barriers and to provide tailored strategies to improve adherence. This response is empathetic and solution-focused.
Correct Answer is ["A","D"]
Explanation
The correct answer is choice A and D.
Choice A rationale:
Establishing rapport with the client is a fundamental nursing action to create a trusting relationship, which is especially important when a client is experiencing acute anxiety. A strong rapport can help the client feel more secure and supported, making it easier to manage their anxiety.
Choice B rationale:
Making eye contact is generally considered a non-threatening and effective way to communicate care and attention. Avoiding eye contact could make the client feel isolated or ignored. Therefore, this is not a recommended action when attending to a client with acute anxiety.
Choice C rationale:
Using a high-pitched voice can be perceived as alarming or stressful, which may exacerbate the client’s anxiety. It is important to use a calm, soothing tone when speaking to someone who is anxious.
Choice D rationale:
Validating the client’s feelings and identifying the cause of the anxiety are therapeutic techniques that acknowledge the client’s experience and can help in addressing the underlying issues contributing to the anxiety. This can be a crucial step in helping the client to cope with and overcome their anxiety.
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