Author Question: A patient has been taking Prozac (fluoxetine) for the past 3 years for depression. She is seeing ... (Read 89 times)

fox · **on:** Jul 23, 2018

A patient has been taking Prozac (fluoxetine) for the past 3 years for depression.

She is seeing her gynecologist for premenopausal symptoms and during the interview with the nurse she says that she would like to try Sarafem because her friend is taking it and she says it works great. The nurse's best response is what? A) Sarafem and Prozac are different brand names for the same generic medication.
B) Before changing drugs it is important to consider how well you responded to Prozac.
C) You cannot take both drugs at the same time so it will be important to decide which is best.
D) When taking both of these drugs, it is best to take one in the morning and one at night.

Question 2

When administering a topical antifungal via the vaginal route, what action would the nurse take?

A) Place the patient in left lateral Sims' position.
B) Applied using sterile technique
C) Administered high into the vagina.
D) Insert a tampon after insertion.

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

Answer to Question 1

A
Feedback:
Prozac and Sarafem are different brand names for fluoxetine, so there is no benefit in changing the patient's medication regimen and, if taken together, would result in a drug overdose. The other three responses are incorrect or inappropriate because they do not recognize that both drugs are the same.

Answer to Question 2

C
Feedback:
Vaginal antifungals should be administered high into the vagina. The patient should be placed in a recumbent position for insertion. Clean technique (not sterile) should be used. Inserting a tampon after administration is not necessary.