An older client has taken paroxetine hydrochloride (Paxil) for depression for one month. When discussing the medication, which client statements are most concerning? Select all that apply.

1. "I feel tired after taking this medication."
2. "I have not had trouble with driving my vehicle."
3. "I take all my medications with breakfast except Paxil."
4. "I take the Paxil before eating my evening meal."
5. "I cannot take this medication with my other medications."


1. "I feel tired after taking this medication."
4. "I take the Paxil before eating my evening meal."
5. "I cannot take this medication with my other medications."

Explanation: 1. Paroxetine hydrochloride (Paxil) is a stimulating antidepressant and will not make the client feel tired after taking it.
2. This medication is stimulating so it should not affect the client's ability to drive.
3. This medication should be taken with breakfast so it does not interfere with sleep. It can be taken with the other medication doses.
4. This medication should be taken with breakfast. If taken with dinner, it can interfere with sleep since it is a stimulating antidepressant.
5. There is no evidence to suggest that paroxetine hydrochloride (Paxil) cannot be taken with other prescribed medications.

Nursing

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