MH pharm missed
Fluoxetine hydrochloride is prescribed for a client being treated for depression, and the nurse reinforces instructions to the client regarding the medication. Which statement by the client would indicate that the client understands this medication therapy?
"It takes approximately 2 to 4 weeks before improvement is noted." Rationale:The time frame in which the therapeutic effects of fluoxetine hydrochloride are seen is usually 2 to 4 weeks after initiation of therapy. It is important to advise clients to comply with the prescribed regimen so that therapeutic levels are maintained. Dry mouth is a side effect of the medication, and the client would be instructed to relieve the dry mouth by chewing sugarless gum or sipping tepid water.
A client taking buspirone hydrochloride for 1 month is scheduled for a follow-up appointment. The nurse gathers data from the client and interprets that the medication is effective if the client reports an absence of which sign/symptom?
Alcohol withdrawal signs/symptoms Rationale:The nurse interprets that the medication is effective if the client reports an absence of palpitations and anxiety. Buspirone hydrochloride is indicated most often for the treatment of anxiety and aggression. It is not recommended for the treatment of thought disorders such as delusions, schizophrenia including paranoid thoughts, or drug or alcohol withdrawal signs/symptoms.
A client with fibromyalgia has not achieved pain relief with opioid pain medication. The client has a history of diabetes mellitus and atherosclerosis. The nurse anticipates that which single medications may be selected by the primary health care provider to be given in conjunction with the opioid pain medication? Select all that apply.
Duloxetine Pregabalin Alprazolam Imipramine Rationale: The nurse anticipates that duloxetine, pregabalin, or alprazolam will be given in conjunction with the opioid pain medication. Serotonin-norepinephrine reuptake inhibitors (duloxetine) are used for chronic pain disorders, as are certain anticonvulsants (pregabalin) and benzodiazepines (alprazolam). Each of these is used as an adjunct to the opioid medication. Tricyclic antidepressants are also used as adjuncts for chronic pain. However, in this case, the tricyclic antidepressants (imipramine and amitriptyline) are contraindicated because the client has atherosclerosis.
A client who is taking lithium carbonate is scheduled for surgery. The nurse would reinforce what information in the preoperative teaching about this medication?
The medication will be discontinued 1 to 2 days before the surgery and resumed as soon as full oral intake is allowed. Rationale:The client who is on lithium carbonate must be off the medication for 1 to 2 days before a scheduled surgical procedure and can resume the medication when full oral intake is prescribed after the surgery. The other options regarding when to discontinue lithium carbonate before surgery are incorrect.
A client is receiving a daily dose of oral fluphenazine. The nurse should reinforce instructions to the client to practice which intervention to minimize common side effects of this medication?
Use hard, sour candy or sugarless gum. To minimize common side effects of this medication, the nurse would reinforce to the client to use hard, sour candy or sugarless gum. Fluphenazine is classified as an antidepressant and a selective serotonin reuptake inhibitor. Dry mouth is a common side effect. Frequent mouth rinsing with water, sucking on hard candy, and chewing sugarless gum will alleviate this common side effect. Hypotension and hypertension are rare side effects of oral fluphenazine. Fluphenazine does not affect the pulse. Weight gain is a common side effect, and frequent snacks will worsen the problem.
Fluoxetine is prescribed, and the nurse reinforces instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding about the administration of this medication?
"I should take the medication in the morning when I first arise." Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). It is administered in the early morning without consideration to meals. Options 1, 2, and 4 are incorrect.
