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: Sedatives induce calm, not lower blood pressure directly. Vasodilators target BP reduction specifically. This choice errors per nursing pharmacology standards. It’s universally distinct as unrelated to BP management, lacking the required mechanism.
Choice B reason: Intermediate-acting defines duration, not BP-lowering action. Vasodilators reduce pressure effectively. This choice misaligns with nursing pharmacology definitions. It’s universally distinct, missing the functional role specified in the question.
Choice C reason: Vasodilators, like nitroglycerin, widen vessels, lowering BP efficiently. This matches nursing pharmacology standards precisely. It’s universally recognized, distinctly applied in practice for hypertension or angina management effectively.
Choice D reason: Vasoconstrictors raise BP, opposite of lowering it. Vasodilators fit the description accurately. This choice errors per nursing pharmacology principles. It’s universally distinct, contradicting the question’s intent entirely.
Correct Answer is A
Explanation
Choice A reason: Hypnotics, like Ambien, induce sleep, matching Seconal’s primary action. This aligns with nursing pharmacology standards for sleep-producing drugs. It’s universally recognized, distinctly applied to facilitate rest effectively in practice.
Choice B reason: Anticoagulants prevent clotting, not induce sleep like hypnotics do. This misidentifies Seconal’s purpose, per nursing standards. It’s a universal error, distinctly unrelated to sleep production in pharmacology.
Choice C reason: Sedatives calm but don’t always induce sleep; hypnotics specifically do. This lacks precision, per nursing pharmacology. It’s universally distinct, missing the sleep focus of Seconal and Ambien.
Choice D reason: Psychotropics affect mood broadly, not just sleep like hypnotics. This errors in specificity, per nursing standards. It’s universally distinct, misaligning with the sleep-inducing role of these drugs.
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