A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily. Which of the following statements by the clients understanding of the teaching?
A.
I will notice an improvement in my sex drive”
B.
I should notify my provider if I develop a skin rash.”
C.
“I should expect relief from depression within 3 to 4 days.”
D.
“I will take my fluoxetine at bedtime so I can sleep better.”
The correct answer and Explanation is :
The correct answer is B: “I should notify my provider if I develop a skin rash.”
Explanation:
Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is commonly prescribed to treat depression and other conditions. When educating clients about fluoxetine, it’s essential to highlight several important aspects of the medication, including potential side effects and proper usage.
- Skin Rash: Fluoxetine can cause allergic reactions, including skin rashes. If a client develops a rash, it’s crucial to contact their healthcare provider immediately. A rash could indicate a serious reaction, such as Stevens-Johnson syndrome or other drug-related allergies, which require prompt medical attention.
- Expected Time for Improvement: While fluoxetine is effective for treating depression, it typically takes several weeks—usually 4 to 6 weeks—to notice significant improvement in depressive symptoms. A client should not expect relief within just 3 to 4 days. Immediate improvement is not typical for antidepressants, and patience is often necessary as the medication builds up in the system.
- Sex Drive: Fluoxetine, like other SSRIs, may actually have the opposite effect on sex drive. It’s not uncommon for SSRIs to cause sexual side effects such as decreased libido, delayed orgasm, or erectile dysfunction. Therefore, expecting an improvement in sex drive might be misleading.
- Timing of Medication: Fluoxetine can be taken at any time of day, but it’s generally advised to take it in the morning. Taking it at bedtime is not recommended as it may cause insomnia or disrupt sleep patterns. The medication’s stimulating effects can interfere with sleep, so taking it in the morning can help avoid these issues.
In summary, the statement about notifying the provider if a skin rash develops is the correct understanding. It reflects awareness of a potential serious side effect and the importance of seeking medical attention.