A client begins taking 40 mg of fluoxetine (Prozac) daily. Two days later the client calls complaining of restlessness. In response to the prescriber's orders, which of the following interventions should the nurse expect to implement?
A) Add diazepam (Valium).
B) Decrease the dosage.
C) Switch to a different selective serotonin reuptake inhibitor (SSRI).
D) Stop the fluoxetine and tell the client to go to a nearby hospital for observation and blood studies.
Ans: B
Feedback:
Side effects associated with SSRIs include nausea, vomiting, weight changes, agitation or restlessness, and delayed or impaired orgasm. Side effects are immediate; some experts believe that beginning with a subtherapeutic dose to improve initial tolerance can minimize side effects. Others posit that the starting dose should be the same as the maintenance dose. Side effects can be minimized by lowering the dose.
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