A patient with depression has been prescribed fluoxetine. Which statement made by the patient indicates an understanding of the medication teaching?
"Disorientation and hallucinations are common."
"The drug may enhance my interest in sex."
"It may take 3 to 4 weeks before my mood is elevated."
"I can stop this medication when I feel less depressed."
The Correct Answer is C
Choice A rationale: Disorientation and hallucinations are not common side effects of fluoxetine. These symptoms may indicate other issues and should be reported to the healthcare provider.
Choice B rationale: Sexual side effects, including a potential decrease in interest in sex, are known side effects of fluoxetine. The statement suggesting enhanced interest is not accurate.
Choice C rationale: Fluoxetine, like other selective serotonin reuptake inhibitors (SSRIs), may take 3 to 4 weeks or even longer for the full therapeutic effect to be achieved.
Choice D rationale: Abruptly stopping fluoxetine is not recommended and can lead to withdrawal symptoms. The medication should be tapered under the guidance of a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Stopping aspirin immediately may not be necessary and can increase the risk of rebound thrombosis. A gradual discontinuation is often recommended.
Choice B rationale: Stopping aspirin 3 days prior to surgery is a common recommendation to minimize the risk of bleeding during and after the surgical procedure.
Choice C rationale: Reducing the aspirin dosage may not be sufficient, and complete discontinuation is often advised before surgery.
Choice D rationale: Continuing aspirin as scheduled can increase the risk of bleeding during and after surgery. It is generally recommended to discontinue aspirin before elective surgical procedures.
Correct Answer is C
Explanation
Choice A rationale: Testing for CYP450 genetic variants is more relevant for medications metabolized by the cytochrome P450 system.
Choice B rationale: HLA-B genetic variants are more associated with certain drug hypersensitivity reactions, not specifically for etanercept.
Choice C rationale: Etanercept can increase the risk of reactivating latent infections, including hepatitis B. Screening for latent hepatitis B virus is essential before starting therapy.
Choice D rationale: Blood type and crossmatch are not typically required for starting etanercept therapy.
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