A nurse is assessing a patient who has been taking sertraline for 2 weeks.
Which finding should the nurse identify as an indication that the medication is effective?

The patient’s legs are not swollen.

The patient reports an improvement in mood.

The patient’s blood pressure is within the expected range.

The patient reports a recent weight loss.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While swelling in the legs can be a side effect of some medications, it is not a measure of the effectiveness of sertraline. Sertraline is an antidepressant, and its effectiveness would be measured by improvements in mood and behavior.

Choice B rationale

An improvement in mood is a key indicator that the sertraline is effective. Sertraline is a selective serotonin reuptake inhibitor (SSRI) used to treat depression and other mood disorders. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.

Choice C rationale

While it’s important to monitor blood pressure in patients taking any medication, a blood pressure within the expected range is not specifically an indication of the effectiveness of sertraline.

Choice D rationale

Weight loss is not a primary indicator of the effectiveness of sertraline. While some patients may experience weight changes while taking this medication, it is not a measure of its effectiveness in treating depression or other mood disorders.

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Correct Answer is B

Explanation

Choice A rationale

Lower quadrant pain is a common symptom of many conditions, including ectopic pregnancy. However, it does not specifically indicate the presence of blood in the peritoneum.

Choice B rationale

Cullen’s sign, which is the appearance of bruising in the skin around the umbilicus, is a sign of blood in the peritoneum. It can occur in conditions such as a ruptured ectopic pregnancy.

Choice C rationale

Goodell’s sign is a softening of the cervix that typically occurs early in pregnancy. It does not indicate the presence of blood in the peritoneum.

Choice D rationale

Chadwick’s sign is a bluish discoloration of the cervix, vagina, and labia that occurs in early pregnancy. It does not indicate the presence of blood in the peritoneum.

Correct Answer is ["5"]

Explanation

Step 1 is: Calculate the volume of metoprolol to administer using the formula: Volume = Dose ÷ Concentration

Step 2 is: Substitute the given values into the formula: Volume = 5 mg ÷ 1 mg/mL

Step 3 is: Perform the calculation: Volume = 5 mL. So, the nurse should administer 5 mL of metoprolol per dose.

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A nurse is assessing a patient who has been taking sertraline for 2 weeks.Which finding should the nurse identify as an indication that the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a patient who reports severe abdominal pain in the left quadrant. The healthcare provider suspects a ruptured ectopic pregnancy.What sign should the nurse look for that indicates the patient has blood in the peritoneum?

Correct Answer is B

Explanation

Correct Answer is ["5"]

Explanation

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A nurse is assessing a patient who has been taking sertraline for 2 weeks.
Which finding should the nurse identify as an indication that the medication is effective?