A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?

Metallic taste in the mouth

Excessive sweating

Increased urinary frequency

Dry cough

Answer and Explanation

The Correct Answer is B

A. Incorrect. A metallic taste in the mouth is not a common adverse effect of sertraline.

B. Correct. Excessive sweating (diaphoresis) is a potential adverse effect of sertraline and other selective serotonin reuptake inhibitors (SSRIs).

C. Incorrect. Increased urinary frequency is not commonly associated with sertraline.

D. Incorrect. A dry cough is not a known adverse effect of sertraline.

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Correct Answer is C

Explanation

A. Incorrect. While some gestures can be helpful in communication, they might not always convey complex medical information accurately.

B. Incorrect. Speaking slowly might not necessarily enhance understanding, especially if the client's primary language is different from the nurse's.

C. Correct. When using an interpreter, the nurse should address the client directly and speak as if they are having a direct conversation with the client.

D. Incorrect. Pausing in the middle of sentences can disrupt the flow of communication and might not facilitate understanding.

A. Insert a pillow under the client's knees. B. Position the client in reverse Trendelenburg. C. Assist the client into the lithotomy position. D. Place a wedge under one of the client's hips.

Correct Answer is D

Explanation

A. Placing a pillow under the client's knees would not specifically address preventing a compromise in placental blood flow.
B. Reverse Trendelenburg involves tilting the bed so that the head is elevated and the feet are lower. While this position may help with respiratory difficulties (by allowing the diaphragm to expand), it does not address the concern of aortocaval compression, which is critical during pregnancy.
C. The lithotomy position is used for vaginal deliveries and involves placing the client's feet in stirrups, which is not appropriate for a cesarean birth.
D. The wedge position helps maintain blood flow to the placenta by relieving aortocaval compression, thereby improving venous return and placental perfusion. This is particularly important in pregnant clients, where the uterus can exert significant pressure on these blood vessels in the supine position.

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A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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