The physician ordered a brand name drug for the client, paroxetine (Paxil). After taking this medication for a year, the client tells the nurse that it is no longer working. What is the best assessment of the nurse at this time?

Question

1. "This sounds like your medication needs changing."
2. "Let's look for interactions with other medications you are taking."
3. "Are you taking Paxil or paroxetine?"
4. "It is time for us to do the Beck Depression assessment again."

Answer 1

3
Rationale 1: Considering a change in medication is appropriate, but another assessment takes priority.
Rationale 2: Assessing for interactions with other drugs is appropriate, but another assessment takes priority.
Rationale 3: The bioavailability of a generic drug may not be the same as the bioavailability of a brand name drug.
Rationale 4: Assessing for worsening of depression is appropriate, but another assessment takes priority.
Global Rationale: The bioavailability of a generic drug may not be the same as the bioavailability of a brand name drug. Assessing for worsening of depression is appropriate, but the nurse should first assess if the client has changed to a generic form of the drug. Assessing for interactions with other drugs is appropriate, but the nurse should first assess if the client has changed to a generic form of the drug. Considering a change in medication is appropriate, but the nurse should first assess if the client has changed to a generic form of the drug.