An adolescent child with panic disorder is taking Prozac ...

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An adolescent child with panic disorder is taking Prozac (fluoxetine HCl), a serotonin reuptake inhibitor (SSRI). The child tells the nurse that she often takes diet pills because she is trying to lose weight.
 
  The nurse should advise the child to: 1. Continue with the Prozac (fluoxetine HCl) and the diet pills.
  2. Stop both the Prozac (fluoxetine HCl) and the diet pills.
  3. Discontinue use of the diet pills while taking the Prozac (fluoxetine HCl).
  4. Discuss use of the diet pills with a pharmacist.

Question 2

The priority nursing diagnosis for a child with bipolar disorder who has suicidal ideas would be:
 
  1. Powerlessness related to mood instability.
  2. Social isolation related to disorder.
  3. Risk for injury related to suicidal ideas.
  4. Impaired social interaction.

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Answer to Question 1

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

Answer to Question 2

3
Rationale: The other diagnoses have a lower priority.
1. The priority for a child with bipolar disorder and suicidal ideas is safety. The powerlessness diagnosis has a lower priority.
2. The priority for a child with bipolar disorder and suicidal ideas is safety. The social isolation diagnosis has a lower priority.
3. The priority for a child with bipolar disorder and suicidal ideas is safety. Risk for injury would be the nursing diagnosis that addressed safety for the child.
4. The priority for a child with bipolar disorder and suicidal ideas is safety. The impaired social interaction diagnosis has a lower priority.

[clmills979]

Thank you

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