A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and has a new prescription for paroxetine (Paxil). Which of the following instructions should the nurse include?
"It can take several weeks before you feel like the medication is helping."
"You should take the medication when needed for obsessive urges."
"Take the medication just before bedtime to promote sleep."
"Monitor yourself for weight gain while taking this medication."
The Correct Answer is A
Choice A reason: Paroxetine, an SSRI, needs weeks to ease OCD symptoms. This fits nursing pharmacology education standards. It’s universally distinct, critical for patient expectations.
Choice B reason: PRN isn’t for SSRIs; daily use treats OCD effectively. This errors per nursing standards. It’s universally distinct, misrepresenting administration schedule.
Choice C reason: Bedtime isn’t key; paroxetine isn’t for sleep primarily. This choice misaligns with nursing pharmacology. It’s universally distinct, off OCD focus.
Choice D reason: Weight gain is secondary; delayed effect is primary teaching. This errors per nursing standards. It’s universally distinct, missing main point.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Anxiety uses minor tranquilizers; antipsychotics target psychosis instead. This errors per nursing pharmacology. It’s universally distinct, off-purpose entirely.
Choice B reason: Tension isn’t the focus; antipsychotics manage psychotic symptoms. This choice misaligns with nursing standards. It’s universally distinct, not the goal.
Choice C reason: Antipsychotics treat psychotic disorders like schizophrenia effectively. This fits nursing pharmacology standards. It’s universally applied, distinctly accurate for use.
Choice D reason: Depression needs antidepressants; antipsychotics address psychosis primarily. This errors per nursing standards. It’s universally distinct, wrong condition.
Correct Answer is A
Explanation
Choice A reason: Cooling a soft suppository in foil under cold water firms it for insertion. This is practical, per nursing pharmacology. It’s universally applied, distinctly effective for administration.
Choice B reason: Not administering skips needed therapy; cooling resolves softness safely. This overreacts, per nursing standards. It’s universally distinct, errors in patient care continuity.
Choice C reason: Inserting a soft suppository reduces efficacy and comfort; cooling is better. This risks failure, per nursing pharmacology. It’s universally distinct, a poor choice.
Choice D reason: Returning to pharmacy delays treatment; cooling is faster and sufficient. This errors, per nursing standards. It’s universally distinct, less practical than cooling.
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