A nurse is providing teaching to a client who has depression and a new prescription for fluoxetine

Inc intake of potassium rich food

Loop diuretics, such as furosemide, act at the loop of Henle by blocking the resorption of sodium, water, and potassium. An adverse effect of the medication is the development of electrolyte imbalances such as hyponatremia, hypochloremia, and hypokalemia. To prevent hypokalemia, the client should increase intake of potassium-rich foods, such as potatoes, spinach, dried fruit, and nuts.

Monitor for muscle weakness

Furosemide, a loop diuretic, causes a loss of potassium, which can result in manifestations of hypokalemia such as difficulty concentrating, shallow respirations, hyporeflexia, and muscle weakness. The nurse should instruct the client to monitor for these manifestations and report them to the provider.

Dangle your legs from the side of the bed before standing

Loop diuretics, such as furosemide, reduce vascular tone and increase fluid excretion. These effects decrease blood return to the heart and can manifest as dizziness and lightheadedness when going from a lying to a standing position. The client should change positions slowly to minimize orthostatic hypotension.

Which instruction would the nurse give to a patient who has been prescribed fluoxetine?

Take fluoxetine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Swallow the delayed-release capsules whole; do not cut, crush, or chew them.

Which of the following instructions should you give to a patient taking lithium carbonate?

Take this medication by mouth as directed by your doctor, usually 2-3 times daily. Take lithium with or immediately after meals to lessen stomach upset. Do not crush or chew this medication.

Which of the following adverse effects should the nurse monitor for in a patient taking warfarin?

Advise patient to report any symptoms of unusual bleeding or bruising (bleeding gums; nosebleed; black, tarry stools; hematuria; excessive menstrual flow) and pain, color, or temperature change to any area of your body to health care professional immediately.

Why is taking aspirin while also taking coumadin a problem?

Individuals taking oral blood thinners or anticoagulants, for example, warfarin, (Coumadin) should avoid aspirin because aspirin also thins the blood, and excessive blood thinning may lead to serious bleeding.