A nurse is assessing a client who has been taking sertraline for 2 weeks. The nurse should identify which of the following findings as an indication that the medication is effective?
The client's blood pressure is within the expected reference range.
The client's legs are not swollen.
The client reports a recent weight loss
The client reports increase in mood.
The Correct Answer is D
A. The client's blood pressure is within the expected reference range - While blood pressure monitoring is important during treatment with certain medications, such as antihypertensives, it is not a direct indicator of the effectiveness of sertraline, which is an antidepressant medication.
B. The client's legs are not swollen - Swelling of the legs may be a sign of fluid retention, which can occur with various conditions and medications. However, it is not a specific indicator of the effectiveness of sertraline.
C. The client reports a recent weight loss - Weight changes, including weight loss or gain, can occur as side effects of sertraline. However, weight changes alone do not necessarily indicate the effectiveness of the medication in treating depression.
D. The client reports an increase in mood - Improvement in mood, reduction in depressive symptoms, and overall sense of well-being are primary indicators of the effectiveness of sertraline and other antidepressant medications in treating depression. Therefore, the client reporting an increase in mood suggests that the medication may be effective in managing their symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prepare for gastric lavage due to an extremely elevated lithium level.
This option is incorrect. A lithium level of 1.0 mEq/L is within the therapeutic range for treating bipolar disorder or other mood disorders. Gastric lavage (stomach pumping) is not indicated for this level of lithium concentration.
B. Check the client's medication record to assess whether the client has been refusing her lithium.
This option is not directly relevant to the client's current lithium level of 1.0 mEq/L. While it's important to monitor medication adherence, the client's lithium level is within the therapeutic range, so there is no immediate concern about refusal or non-adherence.
C. Administer the morning dose of lithium.
This option is correct. With a lithium level of 1.0 mEq/L, which falls within the therapeutic range for treating bipolar disorder, the nurse should proceed with administering the morning dose of lithium as prescribed. It's important to maintain therapeutic lithium levels to effectively manage the client's condition.
D. Hold the medication and assess for early manifestations of toxicity.
This option is incorrect. With a lithium level of 1.0 mEq/L, there is no indication to hold the medication or suspect early manifestations of toxicity. Monitoring for lithium toxicity is important, but it's not warranted in this scenario where the lithium level is within the therapeutic range.
Correct Answer is ["8"]
Explanation
To calculate the flow rate in drops per minute (gtt/min), we first need to find the total number of drops (gtt) that will be infused over 3 hours and then divide by the total infusion time in minutes.
Given: Volume to infuse = 150 mL
Infusion time = 3 hours
Drop factor = 10 gtt/mL
First, let's find the total number of drops for the entire infusion:
Total drops = Volume × Drop factor
Total drops = 150 mL × 10 gtt/mL = 1500 drops
Now, let's find the infusion time in minutes: Infusion time (in minutes) = 3 hours × 60 minutes/hour = 180 minutes
Finally, let's calculate the flow rate:
Flow rate (gtt/min) = Total drops / Infusion time
Flow rate = 1500 drops / 180 minutes ≈ 8.33 gtt/min
Rounded to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 8 gtt/min.
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