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 C
Explanation
A. Total cholesterol levels alone do not provide sufficient information about the lipid profile; it is important to assess individual components such as LDL, HDL, and triglycerides.
B. Very low-density lipoprotein (VLDL) is associated with increased risk of cardiovascular disease when elevated, so it should not be high.
C. Low-density lipoprotein (LDL) cholesterol is often referred to as "bad" cholesterol, and lower levels are associated with reduced risk of cardiovascular disease.
D. High-density lipoprotein (HDL) cholesterol is often referred to as "good" cholesterol, and higher levels are associated with reduced risk of cardiovascular disease.
Correct Answer is B
Explanation
Explanation:
A. There is no evidence in the scenario to suggest that Ms. Garcia developed unstable angina.
B. Exposure to light, particularly sunlight, can degrade nitroglycerin, reducing its effectiveness over time.
C. There is no indication that Ms. Garcia developed tolerance to sublingual nitroglycerin in this scenario.
D. Ms. Garcia's storage method for the nitroglycerin tablets, not the interval or duration of administration, likely affected their effectiveness.
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