Author Question: An adolescent client diagnosed with panic disorder is prescribed paroxetine (Paxil), a selective ... (Read 33 times)

bobthebuilder · **on:** Jun 28, 2018

An adolescent client diagnosed with panic disorder is prescribed paroxetine (Paxil), a selective serotonin reuptake inhibitor (SSRI). The client tells the nurse she often takes diet pills because she is trying to lose weight.

Which response by the nurse is the most appropriate?
1. You can continue with the paroxetine (Paxil) and the diet pills.
2. It is important to stop both the paroxetine (Paxil) and the diet pills.
3. Discontinue using the diet pills while taking the paroxetine (Paxil).
4. You should discuss the safety of these two medications pills with a pharmacist.

Question 2

The nurse is planning care for a school-age client, who is diagnosed with bipolar disorder and is having suicidal ideations. Which nursing diagnosis is the priority for this client?

1. Powerlessness Related to Mood Instability
2. Social Isolation Related to Disorder
3. Risk for Injury Related to Suicidal Ideas
4. Impaired Social Interaction

scrocafella · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 3
Rationale: Serotonin syndrome, the serious and life-threatening side effect of SSRIs, can develop when the drug is taken with diet pills, St. John's wort, other antidepressants, alcohol, or LSD. In this case, the diet pills should be discontinued in order to avoid serotonin syndrome. The Paxil should not be discontinued, and waiting to discuss the use of diet pills with a pharmacist would not be an appropriate option.

Answer to Question 2

Correct Answer: 3
Rationale: The priority for a child with bipolar disorder and suicidal ideas is safety. Risk for Injury would be the nursing diagnosis that would address safety for the child. The other diagnoses have a lower priority.