For which of the following adverse effects should a nurse monitor a client taking citalopram?

Urinary retention

Decreased libido

Bruising

Jaundice

Answer and Explanation

The Correct Answer is B

Choice A reason:
Urinary retention is not commonly associated with citalopram. Citalopram, an SSRI (Selective Serotonin Reuptake Inhibitor), primarily affects serotonin levels in the brain and does not typically impact the urinary system to the extent of causing retention.

Choice B reason:
Decreased libido is a known adverse effect of citalopram. SSRIs, including citalopram, can affect sexual function, leading to decreased libido, difficulty achieving orgasm, or erectile dysfunction. This is due to the increased serotonin levels which can negatively impact the sexual response cycle.

Choice C reason:
While bruising is not a hallmark side effect of citalopram, it can occur, especially if there is an interaction with other medications that affect blood clotting. Citalopram can potentially increase the risk of bleeding, and easy bruising may be a sign of this. However, it is less common than other side effects like sexual dysfunction.

Choice D reason:
Jaundice is not a typical adverse effect of citalopram. Jaundice usually indicates a problem with the liver, and while liver function abnormalities have been reported with citalopram use, they are rare. Monitoring for jaundice is not part of the routine assessment for patients on citalopram unless there is a pre-existing liver condition or concurrent use of other hepatotoxic drugs.

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Correct Answer is C

Explanation

Choice A reason:
While not bathing for two days can be concerning, it is not uncommon for clients experiencing mania to neglect personal hygiene. However, this alone does not necessarily indicate a severe issue that requires immediate reporting.

Choice B reason:
Speaking in rhyming sentences, also known as clang associations, is a symptom of mania. While it is indicative of the client's current mental state, it is not as critical as severe neglect of basic needs like eating.

Choice C reason:
Reporting eating only twice in the past week is a significant concern. This indicates severe neglect of basic nutritional needs, which can lead to serious physical health complications. It is crucial to address this immediately to prevent further deterioration of the client's health.

Choice D reason:
Making inappropriate sexual comments is a common symptom of mania due to disinhibition. While it is important to manage this behavior, it is not as immediately life-threatening as severe malnutrition.

A. Writes a detailed daily activity schedule. B. Refuses to engage in conversation. C. Isolates self from others. D. Reports a lack of sleep.

Correct Answer is D

Explanation

Choice A reason:
Writing a detailed daily activity schedule is not typically associated with acute mania. In fact, individuals experiencing mania often have difficulty maintaining structured routines due to their heightened energy levels and racing thoughts.

Choice B reason:
Refusing to engage in conversation is more indicative of depressive episodes rather than manic episodes. During mania, individuals are usually more talkative and may have pressured speech.

Choice C reason:
Isolating oneself from others is another behavior more commonly associated with depression. In contrast, those experiencing mania often seek out social interactions and may be overly sociable.

Choice D reason:
Reporting a lack of sleep is a hallmark symptom of acute mania. Individuals in a manic state often feel little need for sleep and may go for days with minimal rest without feeling tired. This lack of sleep can exacerbate other manic symptoms, such as irritability, impulsivity, and grandiosity.

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Body System	Findings
Neurological:	a. Impaired cognition b. Insomnia c. Seizures
Cardiovascular:	d. Increased blood pressure e. Increased heart rate f. Diaphoresis
Gastrointestinal:	g. Lack of appetite h. Vomiting
Musculoskeletal:	i. Tremulousness j. Malaise

For which of the following adverse effects should a nurse monitor a client taking citalopram?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

Correct Answer is D

Explanation

A nurse is caring for a group of clients. For which of the following clients should the nurse implement seizure precautions?

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