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Microsoft 77-422 dumps

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PowerPoint 2013

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Microsoft 77-422 Dumps

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A female client has experienced varying degrees of depression throughout her life. Now that she is postmenopausal, her depression has increased. She is unable to motivate herself to clean her house or even to get out of bed and get dressed in the morning. The client was begun on fluoxetine (Prozac) therapy. When educating her about fluoxetine, what might the nurse caution her about?
A. Fluoxetine is not sedating; therefore, restrictions on driving and other hazardous activities are not necessary.
B. It is safe to take over-the-counter or other prescription medications with fluoxetine.
C. Rashes or pruritus usually occur early in the therapy and are treatable without discontinuing the medication.
D. A daily dose of fluoxetine may be taken in the morning or evening.
Answer: C
(A) A daily dose of fluoxetine should be taken in the morning. Afternoon doses may cause nervousness and insomnia. (B) Although fluoxetine is less sedating than other antidepressants, it may still cause dizziness or drowsiness in some clients. The nurse should caution clients to avoid driving or hazardous activities until the central nervous system effects of the drug are demonstrated. (C) Rashes or pruritus do commonly occur early in therapy and respond to antihistamines or topical corticosteroids. (D) Advise the client not to take over-the-counter or other prescription drugs without consulting with the physician. Fluoxetine does interact with other common drugs such as monoamine oxidase inhibitors, diazepam, insulin, oral antidiabetic agents, tricyclic antidepressants, and tryptophan.

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