A nurse is caring for a client who is taking citalopram. For which of the following adverse effects should the nurse monitor the client?
Jaundice
Urinary retention
Bruising
Decreased libido
The Correct Answer is D
A. Jaundice is not a commonly reported adverse effect of citalopram. It is more commonly associated with liver dysfunction or other medications.
B. Urinary retention is not a commonly reported adverse effect of citalopram. It is more commonly associated with anticholinergic medications.
C. Bruising is not a commonly reported adverse effect of citalopram. It is more commonly associated with medications that affect platelet function or clotting factors.
D. Decreased libido (reduced sexual desire) is a potential adverse effect of citalopram, as it is with other selective serotonin reuptake inhibitors (SSRIs). Monitoring for changes in sexual function is important because it can affect quality of life and treatment adherence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Methadone hydrochloride is not indicated for the management of alcohol intoxication or withdrawal. It is primarily used for opioid addiction treatment.
B. While monitoring for orthostatic hypotension is important in clients with alcohol use disorder, implementing seizure precautions is a higher priority because alcohol withdrawal can lead to
seizures.
C. Acidifying the client's urine is not indicated in the care of an intoxicated client with alcohol use disorder.
D. Implementing seizure precautions is essential in clients with alcohol use disorder who are at risk for alcohol withdrawal syndrome, which can include seizures as a potential complication.
Correct Answer is A
Explanation
A. Providing written information about the treatment plan promotes transparency and helps to establish trust with the client, which is important in the care of individuals with paranoid personality disorder.
B. Encouraging countertransference can blur professional boundaries and may exacerbate distrust or suspicion in clients with paranoid personality disorder.
C. Monitoring for splitting behaviors is important in personality disorders but does not directly address the client's needs or promote therapeutic engagement.
D. Isolating the client from social or group interactions can exacerbate feelings of paranoia and may not be therapeutic or appropriate.
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