Which common adverse effects of fluoxetine will you include in your health teaching? (Select all that apply.)
Low-grade fever
Nervousness
Dry mouth
Decreased libido
Bradycardia
Correct Answer : B,C,D,E
The common adverse effects of fluoxetine that the nurse should include in their health teaching are nervousness, dry mouth, decreased libido, and insomnia ². These are all known side effects of fluoxetine and can occur in some people who take the medication.
Option A is incorrect because low-grade fever is not a common side effect of fluoxetine.
Option f is incorrect because bradycardia (slow heart rate) is not a common side effect of fluoxetine.
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Correct Answer is B
Explanation
The nurse would need to report an oral temperature of 101 F to the provider immediately. This could be a sign of neuroleptic malignant syndrome (NMS), a rare but potentially life-threatening reaction to antipsychotic medications such as haloperidol ¹. NMS can cause high fever, muscle rigidity, and changes in mental status ¹.
Option A is incorrect because dry mouth is a common side effect of haloperidol and would not need to be reported to the provider immediately ².
Option C is incorrect because drowsiness is a common side effect of haloperidol and would not need to be reported to the provider immediately ⁴.
Option D is incorrect because a blood pressure of 104/72 mmHg is within the normal range and would not need to be reported to the provider immediately.
Correct Answer is D
Explanation
The client's symptoms of high fever, unstable blood pressure, increased confusion, and rigidity are consistent with neuroleptic malignant syndrome (NMS) ⁴. NMS is a rare but life-threatening reaction that can occur in response to neuroleptic or antipsychotic medication ⁴. In this case, the client was taking olanzapine and was recently prescribed chlorpromazine, both of which are antipsychotic medications that can cause NMS ⁴.
Option A is incorrect because accelerated dementia would not cause the sudden onset of these symptoms.
Option B is incorrect because an infection would not explain the sudden onset of these symptoms after starting a new medication.
Option C is incorrect because aspiration would not cause rigidity or unstable blood pressure.
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