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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Correct Answer is D
Explanation
Choice A reason: Bolus is instant; time-release spreads meds slowly instead. Reduced doses fit better. This errors per nursing pharmacology. It’s universally distinct, incorrect.
Choice B reason: Crushing ruins time-release; reduced dosing is the goal. This choice misaligns with nursing standards. It’s universally distinct, errors in handling.
Choice C reason: Pills aren’t specific to time-release; dose reduction is key. This errors per nursing pharmacology. It’s universally distinct, lacks precision.
Choice D reason: Time-release capsules extend action, cutting daily doses effectively. This aligns with nursing pharmacology standards. It’s universally distinct, reducing frequency.
Correct Answer is D
Explanation
Choice A reason: Anti-emetics prevent vomiting; emetics induce it for poisoning. This reverses, per nursing pharmacology. It’s universally distinct, errors in drug action direction.
Choice B reason: Irritants cause inflammation; emetics, like ipecac, trigger vomiting specifically. This misidentifies, per nursing standards. It’s universally distinct, missing the emetic purpose.
Choice C reason: Anti-spasmodics relax muscles; emetics induce vomiting, not relaxation. This errors, per nursing pharmacology. It’s universally distinct, unrelated to vomiting induction.
Choice D reason: Emetics induce vomiting to remove toxins, matching the definition. This aligns, per nursing standards. It’s universally applied, distinctly effective for emergencies.
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