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A nurse is providing teaching to a client who has depression and a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching? 1) I should stop taking the medication if I start feeling better

2) I can take the medication as needed instead of every day
3) I should avoid alcohol while taking this medication
4) I can take this medication with any other antidepressants.

User Dooltaz
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Final answer:

The statement by the client 'I should avoid alcohol while taking this medication' demonstrates an understanding of the teaching about the antidepressant fluoxetine (Prozac), a serotonin agonist that should be taken daily as prescribed without mixing with alcohol or other antidepressants.

Step-by-step explanation:

The correct statement by the client that indicates an understanding of the teaching about fluoxetine, a type of selective serotonin reuptake inhibitor (SSRI), is: I should avoid alcohol while taking this medication. Fluoxetine, often known by its brand name Prozac, is used in the treatment of depression and works by inhibiting the reuptake of serotonin, thereby increasing its levels in the brain and contributing to mood elevation. It is not intended for 'as-needed' use and should be taken daily as prescribed, even if the patient begins to feel better. Additionally, it should not be mixed with alcohol or other antidepressants, particularly monoamine oxidase inhibitors, without physician supervision due to potential interactions and side effects.

Prozac is considered a serotonin agonist because it promotes the action of serotonin by preventing its reuptake into the presynaptic neuron, leading to higher concentrations of serotonin in the synaptic cleft. Major depression is a common mental disorder that can be treated with psychotherapy, brain stimulation, and medications such as SSRIs, which are among the most commonly prescribed antidepressants for this condition. It is critical to have discussions with a doctor about all medications and vitamins you are taking, and any problems with medications should be promptly reported.

Common side effects of SSRIs may include weight gain, fatigue, dizziness, sexual dysfunction, nausea, dry mouth, blurred vision, agitation, insomnia, and constipation. Given the potential for adverse effects and interactions, compliance with medical guidance and avoidance of self-medication is important for the safe and effective use of antidepressants.

User Jackncoke
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