A patient has been prescribed fluoxetine (Prozac) to treat depression. What should be included in the nurse's teaching about the drug? (Select all that apply.)
a. "Do not expect immediate results; it usually takes 2 to 4 weeks for therapeutic effects to be felt."
b. "You may experience some nausea, vomiting, and anorexia, but these side effects will subside in time."
c. "Take the prescribed dose in the early evening."
d. "You need to take this drug only once a week."
e. "You should not consume red wine, aged cheese, or other tyramine-rich foods."
f. "A decreased interest in sexual activity may occur with this medication."
ANS: A, B, F
Teach patient who is taking a selective serotonin reuptake inhibitor (SSRI) that it will take 2 to 4 weeks for therapeutic effects to occur, and possibly longer with Prozac. Possible side effects include excitation, nausea and vomiting, decreased libido, anorexia, and weight loss. SSRIs should be administered before 3 p.m. to prevent excitation from affecting sleep. They are taken daily. Aged foods are avoided with monoamine oxidase inhibitors (MAOIs), not SSRIs.
You might also like to view...
During ongoing assessment of clients taking fluoroquinolone, which of the following adverse reactions should be reported to the physician immediately? Select all that apply
A) Respiratory difficulty B) Drowsiness C) Severe diarrhea D) Hypersensitivity reaction E) A significant drop in blood pressure
The nurse manager wants to use evidence-based recommendations to prevent ventila-tor-associated pneumonia. In order to effectively gather evidence to guide practice, what is the critical first step?
a. Develop the clinical question. b. Identify the databases to be used. c. Appraise the evidence. d. Integrate available evidence with unit ex-pertise.
The nurse cares for a client with chronic pyelonephritis. What is the nurse's understanding of the most frequent cause of this condition?
A) Vesicoureteral reflux B) Papillary necrosis C) Nephrolithiasis D) Tubulointerstitial injury
The nurse is preparing to administer an enema to a patient. Which type of enema is most likely to lead to circulatory overload?
a. Hypertonic solution b. Soapsuds c. Tap water d. Harris flush