The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? (Select all that apply.)

Improved sleep

Decreased anxiety

Reduced appetite

Weight loss

Interest in physical activity

Answer and Explanation

Correct Answer : A,B,E

A. Improved sleep is correct; an effective antidepressant can help normalize sleep patterns, which is a positive indicator of treatment efficacy.

B. Decreased anxiety is correct; fluoxetine is also effective in treating anxiety symptoms, so a reduction indicates the medication is working.

C. Reduced appetite is incorrect; while some individuals may experience appetite changes, a reduced appetite is not an indicator of effectiveness and could indicate a side effect.

D. Weight loss is incorrect; while weight loss can occur, it is not a definitive measure of the effectiveness of fluoxetine and can also signify side effects.

E. Interest in physical activity is correct; an increase in motivation and engagement in activities is a strong indicator of improvement in depressive symptoms.

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Correct Answer is C

Explanation

A. An allergic reaction is a possible response to medication, but it is not directly related to doubling the dosage.

B. Anaphylactic reaction is a severe and rapid allergic response; while possible, it is not the most likely consequence of an overdose in this context.

C. Poisoning is a likely concern when a client takes double the prescribed dosage of analgesics, especially if the medication has a narrow therapeutic index or is known to cause toxicity at high doses.

D. Sedative effects could occur depending on the analgesic used, but poisoning is a more pressing concern following an overdose.

A. "Milk helps the medication absorb more quickly." B. "You should avoid milk and dairy products when taking tetracycline, as they reduce its effectiveness." C. "It is safe to take milk with tetracycline, as long as you increase your water intake." D. "It is fine to drink milk if taken at least 1 hour before or 2 hours after."

Correct Answer is B

Explanation

A. Milk does not enhance the absorption of tetracycline; rather, it contains calcium, which can bind to the antibiotic and reduce its absorption.

B. Avoiding milk and dairy products while taking tetracycline is essential as they reduce the medication's effectiveness by forming insoluble complexes with the drug.

C. Taking milk with tetracycline is not safe due to the risk of decreased absorption; simply increasing water intake does not negate this interaction.

D. While spacing the intake of milk and tetracycline might seem beneficial, it is best to avoid dairy entirely during the treatment to ensure maximum efficacy of the medication.

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The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who experienced a severe headache. When the prescribed dose of analgesics did not cause relief, the client took double the dosage 1 hour later. The nurse should assess the client for what adverse effect?

Correct Answer is C

Explanation

A nurse is caring for a patient with acne who has been prescribed tetracycline. The patient states that they drink a glass of milk every morning with breakfast. What is the nurse's best response?

Correct Answer is B

Explanation

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