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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Aspirin is not primarily used to inhibit peptic ulcer disease; it is used to prevent cardiovascular events by decreasing platelet aggregation.
B. Aspirin decreases platelet aggregation, making it useful in preventing clot formation in conditions such as angina and myocardial infarction.
C. Aspirin is not used to reduce emphysema; it is primarily used for its antiplatelet effects.
D. Aspirin does not directly decrease carbon dioxide retention; its primary mechanism of action in cardiovascular disease is through antiplatelet effects.
Correct Answer is C
Explanation
A. ACE inhibitors primarily affect blood pressure and heart remodeling but do not directly decrease heart rate or contractility.
B. Vasodilators mainly lower blood pressure by expanding blood vessels and do not primarily affect heart rate or contractility.
C. Beta blockers decrease heart rate, contractility, and blood pressure, and are specifically used to improve survival after a heart attack by reducing the heart's workload and oxygen demand.
D. Diuretics primarily reduce blood pressure by decreasing blood volume but do not directly decrease heart rate or contractility.
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