HESI RN PHARMACOLOGY EXAM 2024 verified

HESI RN PHARMACOLOGY EXAM 2024 verified The client diagnosed with a major depressive disorder who is taking fluoxetine reports feeling confused, restless, and having an elevated temperature. Which intervention should the clinic psychiatric nurse implement? 1. Determine if the client has flu-like symptoms. 2. Instruct the client to stop taking the fluoxetine. 3. Recommend the client take the medication at night. 4. Explain that these are expected side effects (ESEs). - 2. Serotonin syndrome is a serious complication of SSRIs. Fluoxetine (Prozac) produces mental changes (confusion, anxiety, and restlessness), hypertension, tremors, sweating, hyperpyrexia (elevated temperature), and ataxia. Conservative treatment includes stopping the SSRI and supportive treatment. If untreated, expected side effects can lead to death. The client diagnosed with a major depressive disorder asks the nurse, "Why did my psychiatrist prescribe a selective serotonin reuptake inhibitor (SSRI) medication rather than one of the other types of antidepressants?" Which statement by the nurse is most appropriate ? 1. "Probably it is the medication that your insurance will pay for." 2. "You should ask your psychiatrist why the SSRI was ordered." 3. "SSRIs have fewer side effects than the other classifications." 4. "The SSRI medications work faster than the other medications." - 3. SSRIs have the same efficacy as monoamine oxidase inhibitors (MAOs) and tricyclics, but SSRIs are safer because they do not have the sympathomimetic effects (tachycardia and hypertension) and anticholinergic effects (dry mouth, blurred vision, urinary retention, and constipation) of the MAOs and tricyclics. The client diagnosed with pneumonia is admitted to the medical unit. The nurse notes the client is taking an antidepressant medication. Which data best indicates that the antidepressant therapy is effective ? 1. The client reports a 2 on a 1- 10 scale, with 10 being very depressed. 2. The client reports not feeling very depressed today. 3. The client gets out of bed and completes activities