The client receives sertraline (Zoloft) and lithium, Which assessment data are most indicative of a potentially serious complication?
Fever and lack of muscular coordination
Nausea and headache
Anxiety and insomnia
Dry mouth and constipation
The Correct Answer is A
A. Fever and lack of muscular coordination may indicate symptoms of serotonin syndrome, a potentially serious complication that can occur when sertraline (an SSRI) is combined with lithium.
B. Nausea and headache are common side effects of sertraline and lithium but are not typically indicative of a serious complication when these medications are used together.
C. Anxiety and insomnia may be related to the underlying condition being treated (e.g., depression) but are not necessarily indicative of a serious complication.
D. Dry mouth and constipation are potential side effects of lithium but are not typically indicative of a serious complication when combined with sertraline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. One and one-half tablets would exceed the prescribed dose.
B. One-quarter of a tablet would be 12.5 mg, which is less than the prescribed 25 mg.
C. One tablet would provide 50 mg, which is double the prescribed dose for the first week.
D. Half a tablet of a 50 mg tablet would correctly provide the 25 mg dose prescribed for the first week.
Correct Answer is D
Explanation
Explanation:
A. A blood pressure of 130/80 is within the target range (below 140/90 for most individuals) and does not require immediate follow-up.
B. Knee pain, while important, is not an immediate priority compared to potential medication side effects or complications.
C. Hypoactive bowel sounds, while needing monitoring, are not typically a priority over potential adverse effects of medication.
D. Complaints of muscle weakness could indicate a potential side effect of atorvastatin (Lipitor), which should be promptly addressed to prevent complications such as rhabdomyolysis. Therefore, it is the priority assessment finding for the nurse to follow-up.
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