A nurse is reinforcing discharge teaching to a client who has a new prescription for sertraline (Zoloft) for posttraumatic stress disorder. Which of the following statements should the nurse include?

"You may have a decreased desire for intimacy while taking this medication."

"You should take this medication at bedtime to help promote sleep."

"You will have fewer urinary adverse effects if you urinate just before taking this medication."

"You'll need to wear sunglasses then outdoors due to the light sensitivity caused by this medication."

Answer and Explanation

The Correct Answer is A

A. Sexual side effects, including decreased libido and difficulty achieving orgasm, are common with sertraline and should be included in discharge teaching.

B. Sertraline can be taken at any time of day and does not necessarily need to be taken at bedtime.

C. Urinary adverse effects are not typically associated with sertraline use.

D. Light sensitivity is not a common side effect of sertraline.

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Correct Answer is A

Explanation

A. High cholesterol can lead to the buildup of plaque in the arteries, which can narrow the blood vessels and decrease blood flow to the heart, increasing the risk of heart disease.

B. High cholesterol does not directly damage the heart muscle but can contribute to conditions like atherosclerosis, which can affect heart function.

C. High cholesterol does not directly thicken the blood but can contribute to the formation of blood clots when combined with other factors.

D. High cholesterol does not typically interfere with the conduction system of the heart but can contribute to conditions like coronary artery disease.

A. Overdose of barbiturates B. Mania C. Side effects of lithium (Eskalith) D. Depression

Correct Answer is B

Explanation

A. The symptoms described are characteristic of mania, not indicative of an overdose of barbiturates.

B. The symptoms described align with a manic episode, which is a hallmark feature of bipolar disorder.

C. These symptoms are not typically associated with lithium side effects.

D. The symptoms described are not consistent with depression but rather with mania.

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A nurse is reinforcing discharge teaching to a client who has a new prescription for sertraline (Zoloft) for posttraumatic stress disorder. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a group of clients on how high cholesterol leads to heart disease.Which explanation regarding high cholesterol is most appropriate?

Correct Answer is A

Explanation

The nurse is caring for a client diagnosed with bipolar disorder who is exhibiting the following symptoms: insomnia, exaggerated confidence, attention seeking, and easily agitated. Based on these symptoms, what does the nurse believe these symptoms are caused by?

Correct Answer is B

Explanation

The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?

The client asks the nurse how atorvastatin (Lipitor) will help lower cholesterol. Which response by the nurse is most appropriate?

The physician tells the nurse an HMG-CoA reductase inhibitor has been ordered. What is another name for the type of drug?

A nurse is collecting data from a client who has been taking sertraline (Zoloft) for the past 2 weeks. Which of the following data collection findings should alert the nurse to the possibility that the client is developing serotonin syndrome?

The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

Which of the following classes of medication decreases heart rate, contractility, and blood pressure, and is used to increase survival rates in post-myocardial infarction patients?

A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply)

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