The nurse has admitted a client with obsessive-compulsive disorder who takes fluoxetine (Prozac). Which comment by the client would indicate that the medication is effective?

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Question 1 of 5

The nurse has admitted a client with obsessive-compulsive disorder who takes fluoxetine (Prozac). Which comment by the client would indicate that the medication is effective?

Correct Answer: A

Rationale: I don't need to check my doors 10 times' indicates fluoxetine's effectiveness. OCD involves repetitive behaviors; reduced checking shows decreased compulsions, aligning with SSRI goals. Persistent germ fears , handwashing , or isolation suggest ongoing symptoms. Fluoxetine targets anxiety-driven rituals, not social feelings. A reflects therapeutic response, making it the best indicator.

Question 2 of 5

A client with a history of epilepsy is admitted for observation after a seizure. Which precaution should the nurse implement to reduce the risk of injury?

Correct Answer: C

Rationale: Ensuring suction equipment is available reduces injury risk post-seizure. It manages secretions, preventing aspiration, per safety standards. High bed/rails increase fall risk, tongue blades are outdated, and restraints harm dignity. C prioritizes airway, making it best.

Question 3 of 5

A fire breaks out in a trash can in the hallway of a medical unit. Which action should the nurse take first?

Correct Answer: A

Rationale: Pulling the nearest fire alarm is first in a hallway fire. It alerts staff and initiates response (RACE: Rescue, Alarm, Contain, Extinguish), per safety protocol. Extinguishing , evacuating , or closing doors follow. A ensures rapid help, making it priority.

Question 4 of 5

A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. The nurse recognizes this assessment finding as what?

Correct Answer: D

Rationale: Tardive dyskinesia is indicated by lip smacking and teeth grinding in a client on chlorpromazine, a long-term antipsychotic side effect, per psychiatric nursing. Dystonia involves muscle spasms, akathisia is restlessness, and bradykinesia is slowed movement. D requires reporting, potentially adjusting therapy.

Question 5 of 5

The nurse is providing instructions for a client with pneumonia. What is the most important information to convey to the client?

Correct Answer: D

Rationale: Complete all of the antibiotic even if your findings decrease' is most important. It prevents resistance and relapse in pneumonia, per infectious disease guidelines. Rest , X-ray , and temperature matter but completing antibiotics ensures cure, making it the priority instruction.

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