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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The patient with a pre-meal glucose level of 90 mg/dL, scheduled to receive 10 units of NPH, is not in immediate need of insulin. NPH is an intermediate-acting insulin, and a glucose level of 90 mg/dL is within the normal range.
Choice B rationale
The patient with a pre-meal glucose level of 70 mg/dL, scheduled to receive 2 units of aspart (Novolog) insulin, is not in immediate need of insulin. A glucose level of 70 mg/dL is at the lower end of the normal range, and aspart is a rapid-acting insulin.
Choice C rationale
The patient with a pre-meal glucose level of 120 mg/dL, scheduled to receive 15 units of NPH, is not in immediate need of insulin. A glucose level of 120 mg/dL is slightly elevated, but NPH is an intermediate-acting insulin.
Choice D rationale
The patient with a pre-meal glucose level of 170 mg/dL, scheduled to receive 5 units of lispro (Humalog) insulin, should receive insulin first. A glucose level of 170 mg/dL is significantly elevated, and lispro is a rapid-acting insulin, making it the most appropriate choice for immediate administration.
Correct Answer is C
Explanation
Choice A rationale
Antacids can provide temporary relief from the symptoms of an ulcer, but they do not treat the underlying cause if the ulcer is caused by H. pylori.
Choice B rationale
H2-receptor blockers can reduce the amount of acid in the stomach, which can help an ulcer heal, but they do not kill H. pylori bacteria.
Choice C rationale
Antibiotics are used to kill H. pylori bacteria, which is the cause of some ulcers. Therefore, antibiotics are the class of drugs successful in treating an ulcer caused by H. pylori.
Choice D rationale
Proton-pump inhibitors can reduce the production of stomach acid, which can help an ulcer heal, but they do not kill H. pylori bacteria.
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