Author Question: A nursing student questions an instructor regarding the order for fluvoxamine (Luvox) 300 mg daily ... (Read 29 times)

09madisonrousseau09 · **on:** Jul 19, 2018

A nursing student questions an instructor regarding the order for fluvoxamine (Luvox) 300 mg daily for a client diagnosed with obsessive-compulsive disorder (OCD). Which instructor response is most accurate?

1. High doses of tricyclic medications will be required for effective treatment of OCD.
2. Selective serotonin reuptake inhibitor (SSRI) doses, in excess of what is effective for treating depression, may be required for OCD.
3. The dose of Luvox is low because of the side effect of daytime drowsiness.
4. The dose of this selective serotonin reuptake inhibitor (SSRI) is outside the therapeutic range and needs to be questioned.

Question 2

A client diagnosed with schizophrenia refuses to take medication, citing the right of autonomy. Under which circumstance would a nurse have the right to medicate the client against the client's wishes?

1. A client makes inappropriate sexual innuendos to a staff member.
2. A client constantly demands attention from the nurse by begging, Help me get better.
3. A client physically attacks another client after being confronted in group therapy.
4. A client refuses to bathe or perform hygienic activities.

itsakadoozi · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2
Rationale: The most accurate instructor response is that SSRI doses in excess of what is effective for treating depression may be required in the treatment of OCD. SSRIs have been approved by the Food and Drug Administration for the treatment of OCD. Common side effects include headache, sleep disturbances, and restlessness.

Answer to Question 2

3
Rationale: The nurse would have the right to medicate a client against his or her wishes if the client physically attacks another client. This client poses a significant risk to safety and is incapable of making informed choices. The client's refusal to accept treatment can be challenged, because the client is endangering the safety of others.