A client has a new prescription for Fluoxetine for PTS. Which of the following statements should the nurse include in the teaching?

Correct Answer: A

Rationale: Rationale: The correct answer is A) You may have a decreased desire for intimacy while taking this medication. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat post-traumatic stress disorder (PTSD). One of the common side effects of SSRIs like fluoxetine is a decrease in libido and sexual desire. Therefore, it is essential for the nurse to educate the client about this potential side effect to promote awareness and understanding. Option B) You should take this medication at bedtime to help promote sleep is incorrect because fluoxetine is typically taken in the morning due to its potential to cause insomnia as a side effect. Option C) You will have fewer urinary adverse effects if you urinate just before taking this medication is incorrect as fluoxetine is not known to cause urinary adverse effects that would be mitigated by emptying the bladder before taking it. Option D) You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication is incorrect as light sensitivity is not a common side effect of fluoxetine. Educationally, understanding the side effects and administration instructions of medications is crucial for nurses to ensure safe and effective patient care. Providing accurate information to clients about their medications empowers them to manage their health effectively and enhances medication adherence.

Correct Answer: A

Rationale: To minimize the anticholinergic effect of Clomipramine, the client should wear sunglasses when outdoors to reduce photophobia. This adverse effect is common with tricyclic antidepressant (TCA) use. Checking temperature daily, timing of medication intake, or adding extra calories to the diet are not directly related to minimizing adverse effects of Clomipramine.

Correct Answer: A

Rationale: Rationale: The correct answer is option A) "I should avoid eating right before I chew a piece of nicotine gum." This statement indicates an understanding of the proper administration of nicotine gum. Nicotine gum should be chewed slowly until a tingling sensation is felt, then parked between the cheek and gum until the tingling stops, and then chewed again. Eating right before chewing the gum can interfere with its absorption. Option B) "I will need to stop using the nicotine gum after 1 year" is incorrect because the duration of nicotine replacement therapy can vary based on individual needs and should be determined in consultation with a healthcare provider. Option C) "I know that nicotine gum is a safe alternative to smoking if I become pregnant" is incorrect as nicotine replacement therapy should be used during pregnancy only under the guidance of a healthcare provider due to potential risks to the fetus. Option D) "I must chew the nicotine gum quickly for about 15 minutes" is incorrect as nicotine gum should be chewed slowly to allow for proper absorption of nicotine through the oral mucosa. Educationally, understanding the proper administration of nicotine replacement therapy is crucial for clients with tobacco use disorder to effectively manage nicotine withdrawal symptoms and increase the chances of successful smoking cessation. It is essential for nurses to provide accurate information and clear instructions to support clients in making informed decisions about their health.

Correct Answer: C

Rationale: In teaching a client how to insert eye drops of Timolol, the nurse should include the instruction to drop the prescribed amount of medication into the center of the conjunctival sac (Option C) because this method allows for proper absorption of the medication and minimizes systemic effects. Placing the drops directly on the cornea (Option B) can cause discomfort and potential corneal damage. Pressing a finger on the inside corner of the eye (Option A) is a technique used to prevent systemic absorption in systemic medications, not for ophthalmic drops. Wiping the eyes with a tissue immediately after application (Option D) can remove the medication before it has a chance to be absorbed. Educationally, it is important to understand the anatomy and physiology of the eye to ensure proper administration of eye drops. Teaching correct techniques not only ensures the effectiveness of the medication but also prevents potential harm to the eye. Understanding the rationale behind each instruction helps the client to adhere to the prescribed regimen and achieve optimal therapeutic outcomes.

Correct Answer: D

Rationale: A urine output of 200 mL in 8 hours indicates decreased kidney function, potentially due to Furosemide therapy. This finding can suggest inadequate renal perfusion and impaired drug clearance, necessitating immediate reporting to prevent further complications like electrolyte imbalances and worsening heart failure.