B t he client is at risk for hyponatremia while

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B. T he client is at risk for hyponatremia while taking escitalopram. C. CORRECT: When discontinuing escitalopram, the client should taper the medication slowly according to a prescribed tapered dosing schedule to reduce the risk of withdrawal syndrome. D. T he client can crush escitalopram before swallowing. A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? A. "Take this medication on an empty stomach" B. "Expect optimal therapeutic
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effects within 24 hr." C. "Take this medication when needed for anxiety" D. "This medication has a low risk for dependency." A. T he client can take this medication with food to reduce GI distress. B. Buspirone can take up to 3 to 6 weeks to obtain optimal therapeutic effects C. T he client should take buspirone on a regular, not PRN, basis because therapeutic effects occur slowly. D. CORRECT: Buspirone has a low risk for physical or psychological dependence or tolerance. A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? A. "It can take several weeks before you feel like the medication is helping." B. "Take the medication just before bedtime to promote sleep." C. "You should take the medication when needed for obsessive urges." D. "Monitor for weight gain while taking this medication." A. CORRECT: Paroxetine can take 1 to 4 weeks before the client reaches full therapeutic benefit. B. T ake paroxetine in the morning to prevent insomnia. C. T ake paroxetine on a regular basis rather than an as-needed basis. D. Paroxetine can cause decreased appetite and weight loss. A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that he grinds his teeth during the night. The nurse should identify which of the following interventions to manage bruxism? (Select all that apply.) A. Concurrent administration of buspirone B. Administration of a different SSRI C. Use of a mouth guard D. Changing to a different class
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of antidepressant medication E. Increasing the dose of paroxetine A. CORRECT: Concurrent administration of a low dose of buspirone is an effective measure to manage the adverse effects of paroxetine. B. O ther SSRIs also will have bruxism as an adverse effect. This is not an effective measure. C. CORRECT: Using a mouth guard during sleep can decrease the risk for oral damage resulting from bruxism. D. CORRECT: Changing to different class of antidepressant medication that does not have the adverse effect of bruxism is an effective measure. E. I ncreasing the dose of paroxetine can cause the adverse effect of bruxism to worsen. This is not an effective measure.
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  • Spring '12
  • STAFF
  • Pharmacology, Morphine, Therapeutic effect, Adverse drug reaction

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