Author Question: A patient taking fluoxetine Prozac complains of decreased sexual interest. A prescriber orders a ... (Read 65 times)

BrownTown3 · **on:** Jul 23, 2018

A patient taking fluoxetine Prozac complains of decreased sexual interest. A prescriber orders a drug holiday. What teaching by the nurse would best describe a drug holiday?

a. Cut the tablet in half anytime to reduce the dosage.
b. Discontinue the drug for 1 week.
c. Don't take the medication on Friday and Saturday.
d. Take the drug every other day.

Question 2

A child will receive 750 mg of an antibiotic for 10 days. The child attends day care. The drug may be dosed in several ways and is available in two concentrations. Which dosing regimen will the nurse discuss with the child's provider?

a. 250 mg/5 mL375 mg PO twice daily
b. 250 mg/5 mL250 mg PO three times daily
c. 500 mg/5 mL250 mg PO three times daily
d. 500 mg/5 mL375 mg PO twice daily

iceage · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Sexual dysfunction may be managed by having the patient take a drug holiday, which involves discontinuing medication on Fridays and Saturdays. Cutting the tablet in half anytime to reduce the dosage is an inappropriate way to manage drug administration effectively. In addition, it does not describe a drug holiday. The patient should not take the drug every other day, nor should it be discontinued for a week at a time, because this would diminish the therapeutic levels of the drug, thereby minimizing the therapeutic effects. In addition, neither of those options describe a drug holiday.

Answer to Question 2

D
To promote adherence to a drug regimen in children, it is important to consider the size and tim-ing of the dose. In this case the preparation containing 500 mg/5 mL means that a smaller volume can be given, which is more palatable to a child. Twice daily dosing is more convenient for parents, especially when a child is in day care or school; it also helps prevent the problem of the medication being left either at home or at school.