A nurse is caring for a client who has a new prescription for sertraline to treat depression. Which of the following statements by the c indicates an understanding of the medication treatment plan?

"I will be able to stop taking this medication when I feel better."

"I understand I might experience difficulty concentrating while on this medication."

"I should decrease my sodium intake while on this medication”

“l am at an increased risk for developing chronic respiratory problems.”

Answer and Explanation

The Correct Answer is B

A. "I will be able to stop taking this medication when I feel better.": Abruptly stopping sertraline can lead to withdrawal symptoms and potential relapse of depression. Clients need to continue the medication as prescribed and taper under guidance if discontinuation is necessary.

B. "I understand I might experience difficulty concentrating while on this medication.": Difficulty concentrating is a common early side effect of sertraline, an SSRI. Understanding and anticipating this transient effect indicates the client has received appropriate education about expected medication responses.

C. "I should decrease my sodium intake while on this medication.": There is no specific restriction on sodium intake when taking sertraline. This statement reflects a misunderstanding of dietary precautions related to the medication.

D. "I am at an increased risk for developing chronic respiratory problems.": Sertraline does not increase the risk of chronic respiratory issues. This statement shows a misconception about the potential side effects of the medication.

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Correct Answer is C

Explanation

A. Assist the client to a supine position: There is no requirement to maintain a supine position for bacterial meningitis. Clients are often more comfortable with the head of the bed elevated to reduce intracranial pressure and promote comfort. Supine positioning alone does not prevent disease transmission or improve outcomes.

B. Recommend prophylactic acyclovir for the client's family: Acyclovir is an antiviral medication and is not effective against bacterial infections. Family members may require prophylactic antibiotics if exposed, but antiviral therapy is inappropriate for bacterial meningitis.

C. Initiate droplet precautions for the client: Bacterial meningitis, particularly Neisseria meningitidis, can be transmitted via respiratory droplets. Implementing droplet precautions, including the use of masks and limiting close contact, protects healthcare staff and other clients from infection. This is a standard and critical infection control measure.

D. Perform a Glasgow Coma Scale every 24 hr: Clients with bacterial meningitis are at risk for rapid neurological changes. Performing a Glasgow Coma Scale only once every 24 hours is insufficient. Neurological status should be monitored more frequently to promptly identify deterioration.

A. "I wonder if the metal in my knee will show up in airport screenings." B. "The physical therapy has not been working, so I will need to have the surgery." C. "I look forward to being able to bend my knee again when I sit in a chair." D. "I am thankful there are no serious complications from this type of surgery."

Correct Answer is D

Explanation

A. "I wonder if the metal in my knee will show up in airport screenings.": This statement reflects curiosity and does not indicate a lack of understanding of the procedure or its risks.

B. "The physical therapy has not been working, so I will need to have the surgery.": The client is expressing a reason for pursuing surgery, which shows understanding of the indication and is appropriate.

C. "I look forward to being able to bend my knee again when I sit in a chair.": This statement demonstrates realistic expectations for postoperative outcomes, indicating understanding of the procedure’s benefits.

D. "I am thankful there are no serious complications from this type of surgery.": This statement indicates a misunderstanding of informed consent. The client shows a lack of awareness that all surgeries carry potential risks. The nurse should contact the surgeon to ensure the client fully understands possible complications before signing.

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A nurse is caring for a client who has a new prescription for sertraline to treat depression. Which of the following statements by the c indicates an understanding of the medication treatment plan?

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