A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?
Assess the patient for gastrointestinal side effects.
Monitor the patient closely for signs of mania.
Administer the medication as ordered
Educate the patient about potential weight gain
The Correct Answer is B
A. While gastrointestinal side effects are common with fluoxetine, they are not the priority concern in the context of bipolar disorder.
B. Fluoxetine (Prozac) is an SSRI used to treat depression, but in patients with bipolar disorder, it can trigger a manic episode. Therefore, the nurse's priority is to monitor for signs of mania, such as increased energy, euphoria, or impulsivity.
C. Administering the medication as ordered is essential, but the nurse must be vigilant for signs of mania, especially with SSRIs in bipolar patients.
D. Educating about weight gain is important but does not address the immediate risk of precipitating mania with fluoxetine in a bipolar patient.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A common symptom of panic attacks is the intense feeling of fear of impending doom, which can overwhelm the individual during an attack. The client may feel like something catastrophic is going to happen, even if no actual threat exists.
B. Obsessions are more commonly associated with obsessive-compulsive disorder (OCD), not panic attacks.
C. Apathy, or lack of emotion or interest, is typically not associated with panic attacks but may be seen in depression or certain other mental health conditions.
D. Fever is not a symptom of panic attacks but could be indicative of an infection or illness.
Correct Answer is B
Explanation
A. Resting in bed may be helpful later, but it does not provide the immediate reassurance and support needed during a panic attack.
B. Remaining with the client provides reassurance, safety, and emotional support during a panic attack, which is essential for de-escalation.
C. Having the client join a therapy group during a panic attack would be overwhelming and inappropriate.
D. Administering a sedative may be considered later but should not be the first intervention, as verbal support and reassurance are the priority during a panic attack.
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