A nurse is reinforcing teaching with a client who was newly prescribed paroxetine (Paxil) (an SSRI) for treatment of panic disorder.
Sort the following information by what the nurse should include vs what not to include.
Take this medication just before bedtime to promote sleep.
Herbal medication can be combined with this medication.
Monitor for weight changes while taking this medication.
It can take several weeks before you feel like the medication is helping.
Correct Answer : A,C
Choice A rationale
Paroxetine (Paxil) is an SSRI used for the treatment of panic disorder. It can be taken with or without food. Taking it at bedtime can help manage some side effects like nausea and drowsiness.
Choice B rationale
Combining herbal medication with paroxetine is not recommended without consulting a healthcare provider. Some herbal supplements can interact with paroxetine and cause serious conditions like serotonin syndrome.
Choice C rationale
Weight changes are a possible side effect of paroxetine. Therefore, monitoring for weight changes while taking this medication is important.
Choice D rationale
It’s important to note that it can take several weeks before the patient feels like the medication is helping. This is a normal part of the process and patients should be encouraged to continue taking the medication as prescribed, even if they don’t feel immediate relief.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While it’s true that poor circulation can affect drug distribution in older adults, this is not the primary reason antianxiety medications are used cautiously in this population.
Choice B rationale
While the liver’s ability to metabolize drugs can decrease with age, leading to increased drug levels in the body, this is not the primary reason antianxiety medications are used cautiously in older adults.
Choice C rationale
Decreased acid production can affect the absorption of certain drugs, but this is not the primary reason antianxiety medications are used cautiously in older adults.
Choice D rationale
Reduced elimination of drugs is a key concern in older adults. This can lead to a buildup of drugs in the body, increasing the risk of side effects. This is particularly true for antianxiety medications, which can cause side effects such as dizziness, confusion, and falls.
Correct Answer is A
Explanation
Choice A rationale
Barbiturates are a class of drugs that were once commonly used to treat conditions like anxiety and insomnia. However, they have largely been replaced by other classes of drugs, such as benzodiazepines, because barbiturates have a high risk for physical and psychological dependence.
Choice B rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs) are primarily used to treat pain and inflammation. While they can cause side effects, they do not typically lead to physical or psychological dependence.
Choice C rationale
Benzodiazepines are commonly used to treat anxiety and insomnia. While they can lead to physical and psychological dependence, they are not rarely used. In fact, they are among the most commonly prescribed medications for these conditions.
Choice D rationale
Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant medication. They can be used to treat anxiety, but they do not typically lead to physical or psychological dependence.
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