NCLEX Nursing MCQs

A client is taking fluoxetine hydrochloride (Prozac) for treatment of depression. The client asks the nurse when the maximum therapeutic response occurs. The nurse’s best response is that the maximum therapeutic response for fluoxetine hydrochloride may occur in the:

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Explanation.

A and B are similar, therefore , removed them first. Recognizing that most antidepressants exert their effects within 2-3 weeks will lead you to letter C.

Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom?

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Explanation.

Sudden decrease in drainage or onset of severe abdominal pain should be reported immediately to the physician because it could mean that obstruction has been developed.

The following pain medications are ordered for a patient who had a right leg debridement.Oxycodone 5 mg every 4 hours as needed and morphine 5 mg every 4 hours as needed. The nurse administered oxycodone 2 hours ago, but the patient report pain Rated 8 on a scale of 0 (no pain) to 10 (Severe pain) as the dressing change begins. Vital signs are: blood pressure level, 169/98 mmHg; heart rate, 112; Respiration rate 22; temperature 7 C (1 F). After evaluating the effectiveness of the pain Medication, what action should the nurse take?

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Explanation.

Administer morphine 5 mg