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A nurse is caring for a client in a clinic.

For each body system below, click to specify the adverse effect that the nurse should include in the teaching. Choose the most likely response for the dropdown(s) in the table below by choosing from the lists of options.

Body System

Common Adverse Effects

Head, eyes, ears, nose, and throat (HEENT)

___

Cardiovascular

_

Genitourinary

_

Gastrointestinal

___

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C","dropdown-group-3":"B","dropdown-group-4":"A"}

Rationale:

• HEENT – Dry mouth: SSRIs such as sertraline commonly cause dry mouth due to anticholinergic effects and altered salivary secretion. Clients may notice difficulty swallowing, increased thirst, or altered taste. Education should include strategies to manage dry mouth, such as frequent sips of water, sugar-free gum, or saliva substitutes.

• Cardiovascular – Tachycardia: Sertraline may increase sympathetic nervous system activity, leading to mild tachycardia. Clients should monitor heart rate and report palpitations, lightheadedness, or other cardiovascular changes. Although usually mild, monitoring is important for those with underlying heart conditions.

• Genitourinary – Urinary retention: SSRIs can interfere with detrusor muscle function and bladder emptying, leading to urinary retention in some clients. Teaching includes observing for difficulty urinating, straining, or reduced urine output, and reporting persistent problems to the provider.

• Gastrointestinal – Diarrhea: Gastrointestinal upset is common when starting SSRIs, including diarrhea, nausea, and abdominal cramping. This occurs due to increased serotonin in the gut. Patients should be advised to maintain hydration and report severe or persistent symptoms.

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Correct Answer is C

Explanation

A. Chlordiazepoxide: Chlordiazepoxide is a benzodiazepine primarily used to manage anxiety and alcohol withdrawal. It does not have any pharmacologic effect on nicotine cravings or withdrawal symptoms and is not indicated for smoking cessation.

B. Naltrexone: Naltrexone is an opioid receptor antagonist used mainly for alcohol and opioid dependence. It does not target the neurochemical pathways involved in nicotine addiction and is therefore not prescribed for smoking cessation.

C. Bupropion: Bupropion is an atypical antidepressant that also functions as a smoking cessation aid by reducing nicotine cravings and withdrawal symptoms. It acts on dopaminergic and noradrenergic pathways, making it an effective first-line pharmacologic option for clients seeking to quit smoking.

D. Clonidine: Clonidine is an antihypertensive medication that can be used off-label to reduce withdrawal symptoms in opioid or nicotine dependence. However, it is not a first-line therapy for smoking cessation and is generally reserved for clients who cannot tolerate other medications.

A. "Of course, I will heat that up for you." B. "Why are you eating seaweed soup?" C. "The hospital food is more nutritious for you." D. "Does the doctor know that you are eating that?"

Correct Answer is A

Explanation

A. "Of course, I will heat that up for you.": Supporting the client’s cultural practices and dietary preferences promotes comfort, maternal satisfaction, and positive breastfeeding experiences. Seaweed soup is generally safe for postpartum consumption and does not pose a risk to the breastfeeding newborn, making this response culturally sensitive and appropriate.

B. "Why are you eating seaweed soup?": Asking this in a questioning or judgmental tone can be perceived as dismissive of cultural practices and may damage the therapeutic nurse-client relationship. It does not provide supportive guidance or education.

C. "The hospital food is more nutritious for you.": While hospital meals are designed to meet general nutritional needs, imposing them over the client’s cultural preferences may undermine autonomy and comfort. Respect for culturally meaningful foods is important in postpartum care.

D. "Does the doctor know that you are eating that?": This response implies unnecessary medical concern and can create anxiety or mistrust. Seaweed soup is generally safe postpartum, and there is no need to involve the physician for routine dietary choices.

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Body System	Common Adverse Effects
Head, eyes, ears, nose, and throat (HEENT)	_____
Cardiovascular	_____
Genitourinary	_____
Gastrointestinal	_____

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications?

Correct Answer is C

Explanation

A nurse is caring for a client who is 24 hr postpartum and is breastfeeding her newborn. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is monitoring a client who is 36 hr postoperative following gastric banding. Which of the following findings should the nurse expect?

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