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 C
Explanation
Choice A reason: Vasodilators widen blood vessels, not airways, unlike albuterol’s action. Bronchodilators target lungs, per nursing pharmacology. This misidentifies the drug class, a distinct error universally understood as unrelated to airway dilation in respiratory care.
Choice B reason: Salicylates, like aspirin, reduce pain or inflammation, not dilate airways. Bronchodilators fit albuterol’s role, per nursing standards. This errors in classification, universally distinct from respiratory drugs, missing the mark comprehensively.
Choice C reason: Bronchodilators, like albuterol, relax and dilate airways, improving breathing. This matches their purpose, aligning with nursing pharmacology. It’s a universal term, distinctly applied to drugs treating asthma or COPD effectively in practice.
Choice D reason: Expectorants loosen mucus, not dilate airways like bronchodilators do. Albuterol’s action differs, per nursing standards. This misaligns with the question’s focus, a distinct universal error in pharmacology classification for airway management.
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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