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
Explanation:
A. Adequate hydration is important to prevent lithium toxicity; decreasing fluid intake is not recommended.
B. Constipation can slow the excretion of lithium and may increase the risk of toxicity, but it is not the most appropriate preventive measure.
C. Sudden changes in sodium intake can affect lithium levels, so restricting sodium-rich foods without medical advice is not advisable.
D. Clients should be cautious with physical activity in hot weather, as excessive sweating can lead to dehydration, increasing the risk of lithium toxicity.
Correct Answer is C
Explanation
A. Ibuprofen is not typically contraindicated with calcium channel blockers.
B. Ranitidine is not typically contraindicated with calcium channel blockers.
C. Digoxin, a cardiac glycoside, can interact with calcium channel blockers, leading to increased levels of digoxin and potential toxicity.
D. Acetaminophen is not typically contraindicated with calcium channel blockers.
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