A nursing student questions an instructor regarding the order for fluvoxamine (Luvox), 300 mg daily, for a client diagnosed with obsessive-compulsive disorder (OCD). Which instructor reply is most accurate?
A. "High doses of tricyclic medications will be required for effective treatment of OCD."
B. "Selective serotonin reuptake inhibitor (SSRI) doses, in excess of what is effective for treating depression, may be required for OCD."
C. "The dose of Luvox is low due to the side effect of daytime drowsiness and nighttime insomnia."
D. "The dosage of Luvox is outside the therapeutic range and needs to be questioned."
ANS: B
The most accurate instructor response is that SSRI doses in excess of what is effective for treating depression may be required in the treatment of OCD. SSRIs have been approved by the U.S. Food and Drug Administration for the treatment of OCD. Common side effects include headache, sleep disturbances, and restlessness.
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A child with secondary enuresis who complains of dysuria or urgency should be evaluated for what condition? Select all that apply
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A nurse is showing an older adult client the correct method of self-administering an insulin injection at home. Which of the following points should the nurse tell the client in order to avoid lipoatrophy and lipohypertrophy?
A) Change the needle daily with each injection. B) Rotate the site with each injection. C) Apply local anesthetic to the injection site. D) Massage the injection site for 10 minutes.