A nurse is assessing a client who has been taking sertraline for 2 weeks. The nurse should identify which of the following findings as an indication that the medication is effective?

The client's blood pressure is within the expected reference range.

The client's legs are not swollen.

The client reports a recent weight loss

The client reports increase in mood.

Answer and Explanation

The Correct Answer is D

A. The client's blood pressure is within the expected reference range - While blood pressure monitoring is important during treatment with certain medications, such as antihypertensives, it is not a direct indicator of the effectiveness of sertraline, which is an antidepressant medication.

B. The client's legs are not swollen - Swelling of the legs may be a sign of fluid retention, which can occur with various conditions and medications. However, it is not a specific indicator of the effectiveness of sertraline.

C. The client reports a recent weight loss - Weight changes, including weight loss or gain, can occur as side effects of sertraline. However, weight changes alone do not necessarily indicate the effectiveness of the medication in treating depression.

D. The client reports an increase in mood - Improvement in mood, reduction in depressive symptoms, and overall sense of well-being are primary indicators of the effectiveness of sertraline and other antidepressant medications in treating depression. Therefore, the client reporting an increase in mood suggests that the medication may be effective in managing their symptoms.

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Correct Answer is D

Explanation

A. Grapefruit juice inactivates this medication - Grapefruit juice is known to interact with certain medications, but it does not affect the metabolism of diazepam. Therefore, this statement is incorrect.

B. It is important to avoid foods that contain tyramine - Tyramine is typically associated with interactions with monoamine oxidase inhibitors (MAOIs), not benzodiazepines like diazepam. Therefore, this statement is incorrect.

C. This medication must be swallowed whole - While it is generally recommended to swallow diazepam tablets whole with a full glass of water, this instruction does not encompass the full range of information necessary for safe medication use.

D. Diazepam can cause drowsiness - This statement is correct. Diazepam, like other benzodiazepines, has sedative effects and can cause drowsiness. Patients should be advised to avoid activities that require mental alertness, such as driving, until they know how the medication affects them. This is an essential aspect of patient education regarding diazepam.

A. Monitoring for the presence of esophageal varices B. Placing the client in protective isolation C. Laboratory analysis of cardiac enzymes D. Administration of thiamine

Correct Answer is D

Explanation

D. Wernicke-Korsakoff psychosis is a neurological disorder caused by thiamine (vitamin B1) deficiency, often resulting from chronic alcohol use disorder. Thiamine deficiency can lead to significant neurological impairments, including confusion, ataxia, and memory deficits characteristic of Wernicke's encephalopathy and Korsakoff's psychosis.

The primary intervention for Wernicke-Korsakoff psychosis is the administration of thiamine supplementation. Thiamine replacement therapy is essential to prevent further neurological deterioration and to potentially reverse some of the cognitive deficits associated with the disorder.

The other options are not directly related to Wernicke-Korsakoff psychosis:

A. Monitoring for the presence of esophageal varices is more relevant to complications of chronic liver disease, such as cirrhosis, commonly seen in individuals with alcohol use disorder, but not specific to Wernicke-Korsakoff psychosis.

B. Placing the client in protective isolation is not indicated for Wernicke-Korsakoff psychosis. Protective isolation is typically used for clients with compromised immune systems to reduce the risk of infection.

C. Laboratory analysis of cardiac enzymes is typically performed to assess for myocardial injury or infarction, which is not directly associated with Wernicke-Korsakoff psychosis.

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A nurse is assessing a client who has been taking sertraline for 2 weeks. The nurse should identify which of the following findings as an indication that the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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