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."
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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Related Questions
Correct Answer is C
Explanation
A. GABA (gamma-aminobutyric acid) is not typically targeted by antidepressants.
B. While some antidepressants may indirectly affect epinephrine and norepinephrine levels, the primary mechanism of action for most antidepressants is through increasing levels of serotonin and/or norepinephrine.
C. Antidepressants commonly work by increasing the levels of neurotransmitters such as norepinephrine and serotonin in the brain.
D. The reticular formation is not directly involved in the mechanism of action of antidepressants.
Correct Answer is A
Explanation
A. Coronary heart disease (CHD) refers to the narrowing or blockage of the coronary arteries due to the buildup of plaque, leading to reduced blood flow to the heart muscle.
B. Cerebrovascular accident (CVA) refers to a stroke, which involves impaired blood flow to the brain rather than the heart.
C. Myocardial infarction (MI) is a heart attack, which occurs when blood flow to a part of the heart is blocked for a long enough time that part of the heart muscle is damaged or dies.
D. Angina pectoris is chest pain or discomfort caused by reduced blood flow to the heart muscle.
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