The parents of a 12-year-old who was prescribed fluoxetine (Prozac) inform the nurse that their child is having trouble sleeping. What is the nurse's best response?
a. "This is a normal expected side effect of fluoxetine."
b. "We may need to ask the prescriber to order something to help your child sleep."
c. "Children are more sensitive to the effects of this drug and may need a lower dose."
d. "Before bedtime be sure that your child does not eat or drink anything with caffeine."
C
Because children are more sensitive to the effects of fluoxetine, the drug may cause unusual ex-citement, restlessness, irritability, or trouble sleeping. The prescriber should be notified if these side effects occur because a lower dose or a different drug may be needed to control the child's depression symptoms.
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The nurse is assisting with data collection in a study of drug effects in healthy subjects. The nurse assists with blood and urine collection to determine serum drug levels and the presence of metabolites in the urine
Which phase of a drug study does this represent? a. Phase I b. Phase II c. Phase III d. Phase IV
A patient is scheduled for an immunotherapy, preseasonal therapy injection. Which of the following should be included in teaching the patient about the injection?
A) The injection will cure the response to the allergen. B) The patient will remain in the clinic to be monitored for 30 minutes following the injection. C) Therapeutic failure occurs if the symptoms to the allergen do not decrease after 3 months. D) The injection is administered year-round.
The physician orders a dose of morphine that the nurse considers excessive. The nurse should
a. administer the medication. b. ask another nurse to administer the medication. c. call the supervisor. d. contact the physician.
The nurse is preparing to use a direct leading technique for a client that is experiencing pain. Which question should the nurse ask the client?
A. "Can you go over what you said about nothing relieving the pain? B. "When did your symptoms begin?" C. "Can you describe your pain?" D. "Do you think you know what caused the pain?