A patient reports that she is going to stop taking Zyprexa because she always feels tired. What is an appropriate response for the nurse to make?
1. "If you just keep taking the medication, after a while you will not feel so tired."
2. "If you are so tired, this drug is probably not working the way it is supposed to work."
3. "You will have to learn to live with it because you cannot stop taking your medication."
4. "We can check with your doctor and see if a lower dose might be OK, but it is important not to stop taking your medications until this can be resolved."
Answer: 4
Explanation: The patient should be informed that adjusting medication dosages sometimes helps with side effects and about possible consequences of suddenly discontinuing the medication. Problems with side effects do not mean that the medication is ineffective. Telling the patient to live with a problem does not address that problem. Some side effects may remit in time, but it is always useful to examine additional solutions.
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