Nokea
A client is prescribed paroxetine. When teaching the client about this drug, which of the following would the nurse include as a possible adverse reaction?
- A. Sexual dysfunction
- B. Insomnia
- C. Somnolence
- D. Diarrhea
- E. Constipation
Correct Answer: A,B,C,D,E
Rationale: Paroxetine, an SSRI, may cause a wide range of side effects including sexual dysfunction, insomnia, somnolence, diarrhea, and constipation.
You may also like to solve these questions
When developing the plan of care for a client who is receiving lithium therapy, which nursing diagnosis would the nurse most likely identify as a priority?
- A. Self-Care Deficit
- B. Disturbed Sleep Pattern
- C. Imbalanced Nutrition: Less Than Body Requirements
- D. Imbalanced Fluid Volume
Correct Answer: D
Rationale: Imbalanced fluid volume is a priority due to lithium's narrow therapeutic index, where fluid status directly impacts toxicity risk.
A nurse administers amitriptyline cautiously to which clients?
- A. Clients with cardiac disease
- B. Clients with hypothyroidism
- C. Clients with diabetes
- D. Elderly clients
- E. Adolescent clients
Correct Answer: A,D
Rationale: Amitriptyline's anticholinergic and cardiac effects necessitate caution in clients with cardiac disease and elderly clients, who are more sensitive to these effects.
Before administering an antidepressant to a client, which of the following would the nurse assess?
- A. Vital signs
- B. Presence of suicidal ideation
- C. Complete medical history
- D. Weight
- E. Mental status
Correct Answer: A,B,C,D,E
Rationale: A comprehensive assessment including vital signs, suicidal ideation, medical history, weight, and mental status is critical to ensure safe antidepressant administration.
After teaching a group of students about antidepressant therapy, the instructor determines that the teaching was successful when the students identify which of the following as a class of antidepressants?
- A. Selective serotonin reuptake inhibitors
- B. Tricyclics
- C. Monoamine oxidase inhibitors
- D. Benzodiazepines
- E. Barbiturates
Correct Answer: A,B,C
Rationale: SSRIs, tricyclics, and MAOIs are classes of antidepressants, while benzodiazepines and barbiturates are sedatives/hypnotics.
A nurse is caring for an older adult client who has been prescribed amoxapine for depression accompanied by anxiety. After administration of the drug, the nurse observes muscle rigidity and sweating. The nurse identifies these as the symptoms of neuroleptic malignant syndrome. Which of the following would the nurse do next?
- A. Suggest the client engage in exercise
- B. Get the client to drink a glass of cold water
- C. Encourage the client to breathe deeply
- D. Stop the drug and contact the physician
Correct Answer: D
Rationale: Neuroleptic malignant syndrome is a medical emergency; stopping the drug and contacting the physician is the appropriate action.