A patient has been taking Sertraline (Zoloft) 20mg/ml oral concentrate 1ml daily for several weeks and reports being unable to sleep well.
What will the nurse do next?
Ask the patient what time of day the medication is taken.
Recommend asking the provider about weekly dosage.
Counsel the patient to take the medication at bedtime.
Suggest that the patient request a lower dose.
The Correct Answer is A
Choice A rationale
Asking the patient what time of day the medication is taken can help identify if taking it at a different time might alleviate sleep disturbances. SSRIs like sertraline can cause insomnia if taken later in the day.
Choice B rationale
Recommending a weekly dosage is inappropriate and could potentially disrupt the therapeutic effect. SSRIs should be taken daily, as prescribed.
Choice C rationale
Counseling the patient to take the medication at bedtime could worsen sleep disturbances, as sertraline may cause insomnia in some individuals. Timing should be adjusted based on patient response.
Choice D rationale
Suggesting a lower dose without consulting the provider may not address the issue effectively and could reduce the efficacy of the medication. Dosage adjustments should be made based on clinical assessment and provider recommendation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Giving ipecac with a glass of milk is not recommended. Milk can delay the emetic effect of ipecac and potentially interfere with its ability to induce vomiting. It is essential to follow proper guidelines for ipecac administration to ensure its effectiveness and safety.
Choice B rationale
Consulting a poison control center before administering ipecac is crucial. Poison control experts can provide specific recommendations based on the type and amount of substance ingested. Not all poisoning cases require ipecac, and its inappropriate use can cause more harm than good.
Choice C rationale
Ipecac fluid extract is significantly more potent than ipecac syrup and is not recommended for home use. The syrup form is standardized for safe administration in inducing vomiting, whereas the fluid extract can cause severe toxicity if used incorrectly.
Choice D rationale
The emetic effect of ipecac is not immediate. It typically takes about 20 to 30 minutes for vomiting to occur after administration. Providing patients and caregivers with accurate information about the onset of action is essential to avoid unnecessary anxiety.
Correct Answer is A
Explanation
Choice A rationale
True. Xanthine derivatives like theophylline can cause serious adverse effects, including brain damage, when blood levels become too high. It is critical to monitor theophylline levels to prevent toxicity and associated neurological complications.
Choice B rationale
False. If xanthine levels remain within therapeutic ranges, the risk of brain damage is minimized. However, this statement is incorrect as it does not acknowledge the potential severity of the adverse effects linked to elevated theophylline levels.
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