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 D

Explanation

Delayed gastric emptying can cause diarrhea in a client with a gastrostomy tube.

The other options are not likely causes of diarrhea.

a) A slow formula infusion rate (option would not cause diarrhea.

b) Giving formula immediately following removal from the refrigerator (option b) may cause discomfort but not diarrhea.

c) A partially obstructed feeding tube (option c) would slow down the infusion rate and would not cause diarrhea.

A. Contact the provider to prescribe more pain medication for the client. B. Teach the client relaxation techniques for the treatment of acute pain. C. Document the client's reaction to the administration of medication. D. Reevaluate the client's response to the medication in 30 min.

Correct Answer is D

Explanation

The first action the nurse should take is to reevaluate the client's response to the medication in 30 min. Hydromorphone has an onset of action of 15 to 30 minutes when taken orally ¹. Therefore, it may take some time for the medication to reach its full eﬀect.

Option a is incorrect because it may not be necessary to contact the provider for more pain medication until after reevaluating the client's response to the medication.

Option b is incorrect because teaching relaxation techniques may not provide immediate relief for acute pain.

Option c is incorrect because documenting the client's reaction to the administration of medication should be done after reevaluating their response to the medication.

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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 collecting data from a client who has a gastrostomy tube and is experiencing diarrhea. Which of the following factors should the nurse identify as a potential cause of the diarrhea?

Correct Answer is D

Explanation

A nurse is collecting data from a client who is postoperative and received hydromorphone 4 mg PO 15 min ago. The client tells the nurse, "My pain level is still 8 on a 0 to 10 scale." Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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