A nurse is reviewing the medication record of a client who has a new prescription for ﬂuoxetine. Which of the following medications should the nurse expect the provider to discontinue 2 weeks before starting ﬂuoxetine treatment?

Levothyroxine

Acetaminophen

Simvastatin

Phenelzine

Answer and Explanation

The Correct Answer is D

The nurse should expect the provider to discontinue phenelzine 2 weeks before starting ﬂuoxetine treatment. Phenelzine is a monoamine oxidase inhibitor (MAOI) and should not be taken with ﬂuoxetine, which is a selective serotonin reuptake inhibitor (SSRI). Taking these two medications together can cause a dangerous drug interaction known as serotonin syndrome.

a) Levothyroxine is a thyroid hormone replacement medication and does not interact with ﬂuoxetine.

b) Acetaminophen is a pain reliever and does not interact with ﬂuoxetine.

c) Simvastatin is a cholesterol- lowering medication and does not interact with ﬂuoxetine.

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Correct Answer is C

Explanation

Ciprofloxacin is an antibiotic commonly prescribed for the treatment of various bacterial infections. It belongs to a class of medications known as fluoroquinolones. One potential side effect of ciprofloxacin is increased sensitivity to sunlight, which can lead to a higher risk of sunburn. Therefore, it is important for the client to take precautions, such as using sunscreen, wearing protective clothing, and avoiding excessive sun exposure while taking this medication.

"Take an antacid if the medication causes gastrointestinal upset": Ciprofloxacin can be taken with or without food, but it should not be taken with antacids, calcium supplements, or other products containing aluminum, magnesium, or calcium, as they can interfere with the absorption of the medication. If gastrointestinal upset occurs, it is generally recommended to take the medication with food to minimize this side effect.

"Restrict your daily fluid intake while taking this medication": There is no need to restrict fluid intake while taking ciprofloxacin unless specifically instructed by the healthcare provider.

Adequate hydration is important to maintain overall health and prevent potential complications.

"Expect to experience diarrhea while taking this medication": Diarrhea can be a potential side effect of ciprofloxacin, but it is not a universal experience for all individuals taking the medication. It is more appropriate to inform the client about the potential side effects of ciprofloxacin, including gastrointestinal upset, and to encourage them to report any significant or persistent symptoms to their healthcare provider

A. Encourage the client to gain 2.3 kg (5 lb) per week. B. Monitor the client for 15 min after meals. C. Weigh the client each morning after voiding D. Reinforce teaching about healthy eating during meals

Correct Answer is C

Explanation

C. Weigh the client each morning after voiding: Weighing the client in the morning after voiding is the standard practice for monitoring weight in clients with anorexia nervosa. This helps ensure consistency in the measurement of weight, as fluctuations throughout the day (due to food, fluid intake, etc.) can affect the accuracy of weight assessment.

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A nurse is reviewing the medication record of a client who has a new prescription for ﬂuoxetine. Which of the following medications should the nurse expect the provider to discontinue 2 weeks before starting ﬂuoxetine treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for ciprofloxacin. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is assisting with planning care for a newly admited client who has anorexia nervosa. Which of the following interventions should the nurse recommend to include in the plan of care?

Correct Answer is C

Explanation

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