A nurse is reviewing the list of medications for a client who has a new prescription for fluoxetine. The nurse should identify that which of the following medications is contraindicated with fluoxetine?
Prednisolone
Lispro
Calcitonin
Phenelzine
The Correct Answer is D
A. Prednisolone: Corticosteroids like prednisolone are not contraindicated with fluoxetine. Although concurrent use may slightly increase the risk of gastrointestinal irritation or affect blood glucose levels, there is no major drug interaction that prevents their coadministration.
B. Lispro: Lispro is a rapid-acting insulin used for diabetes management. Fluoxetine does not directly contraindicate insulin use, though it may slightly affect glycemic control in some clients. Close monitoring of blood glucose is recommended, but the combination is generally safe.
C. Calcitonin: Calcitonin, used for conditions like osteoporosis, does not have significant interactions with fluoxetine. There is no contraindication for concurrent use, and standard monitoring is sufficient.
D. Phenelzine: Phenelzine is a monoamine oxidase inhibitor (MAOI). Combining MAOIs with fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can precipitate serotonin syndrome, a potentially life-threatening condition characterized by confusion, hyperthermia, autonomic instability, and neuromuscular abnormalities. Concurrent use is strictly contraindicated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The adolescent brother criticizes the parents' plan to have a funeral service: Adolescents often struggle with complex emotions such as anger, denial, and a desire for control when facing a sibling’s terminal illness. Criticizing parental decisions reflects attempts to assert independence and process grief in a way that aligns with their developmental stage.
B. The school-age sister views death as being a type of temporary sleep: Viewing death as temporary sleep is more typical of preschool-aged children, who think concretely and cannot yet understand the permanence of death. School-age children begin to understand that death is irreversible and final.
C. The adolescent brother fears the terminal illness is contagious: Fear of contagion is more characteristic of younger children, who may have difficulty distinguishing biological facts from magical thinking. Adolescents usually have a more realistic understanding of disease transmission.
D. The school-age sister is concerned about the impact of her sibling's death on herself: While school-age children do experience grief, their understanding of death is concrete, and self-focused concerns are less common than for adolescents. They are more likely to express concern about changes in routines or the well-being of surviving family members rather than abstract personal impact.
Correct Answer is A
Explanation
A. "Administer the medication early in the day.": Furosemide is a loop diuretic that increases urine output. Giving it early in the day helps prevent nocturia and sleep disturbances, ensuring the child remains well-rested while still receiving the therapeutic effect of fluid removal.
B. "Restrict foods that are high in potassium in your child's diet.": Furosemide can cause potassium loss, so the child’s diet should include potassium-rich foods rather than restrict them. Adequate potassium intake helps prevent hypokalemia, which can cause muscle weakness, arrhythmias, and other complications.
C. "Anticipate that your child will gain weight rapidly while taking this medication.": Furosemide typically reduces fluid retention, which may lead to weight loss or stabilization, not rapid weight gain. Rapid weight gain would indicate fluid accumulation or worsening heart failure, requiring further evaluation.
D. "Expect your child's urine to appear concentrated and dark yellow.": Furosemide increases urine output and dilutes the urine. Urine is more likely to be pale or clear rather than concentrated and dark yellow unless the child is dehydrated or not adequately hydrated.
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