A week after beginning fluoxetine (Prozac), a patient complains, "I still feel so depressed all the time." Based on pharmacodynamics, the nurse's best action is to
a. administer the medication on an empty stomach.
b. advise the health care provider that the drug is ineffective.
c. reassess the expected outcomes of antidepressant therapy.
d. educate the patient that the drug needs more time to be effective.
D
One week is probably an insufficient time for antidepressants to become effective in reducing patient symptoms. The phenomenon of receptor down-regulation develops in 2 to 4 weeks. The other options are not supported by research studies.
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A nursing instructor is teaching a group of students about assessing a client's orientation. The instructor determines that the teaching was successful when the students state that the ability to identify which of the following usually is lost first?
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When caring for a postpartum woman experiencing hemorrhagic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is:
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