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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The priority action for a nurse when caring for a patient exhibiting symptoms of a myocardial infarction is to initiate oxygen therapy. Oxygen therapy is crucial because it increases the amount of oxygen in the blood, which can help reduce the heart’s workload and relieve pain. This intervention is aimed at reducing myocardial oxygen demand and improving oxygen supply to the ischemic myocardium.
Choice B rationale
Obtaining a blood sample is important as it can help diagnose a myocardial infarction. Blood tests can measure levels of certain proteins, such as troponins, in the bloodstream that can indicate heart muscle damage. However, this is not the immediate priority when compared to initiating oxygen therapy.
Choice C rationale
Attaching the leads for a 12-lead ECG is an important step in the assessment of a patient with suspected myocardial infarction. An ECG can show whether the heart muscle has been damaged and where the damage has occurred. However, this should be done after initiating oxygen therapy.
Choice D rationale
Inserting an IV catheter is a necessary step in the management of a myocardial infarction. It allows for the administration of medications and fluids as needed. However, it is not the first priority. The first priority is to stabilize the patient, which includes initiating oxygen therapy.
Correct Answer is D
Explanation
Choice A rationale
While gloves are part of the standard personal protective equipment (PPE) for healthcare workers, they are not specifically required for droplet precautions when preparing a patient’s meal tray.
Choice B rationale
Goggles are not specifically required for droplet precautions when preparing a patient’s meal tray. They are typically used to protect the eyes during procedures that may generate splashes of blood, body fluids, secretions, or excretions.
Choice C rationale
A gown is not specifically required for droplet precautions when preparing a patient’s meal tray. Gowns are typically used during procedures that may generate splashes of blood, body fluids, secretions, or excretions.
Choice D rationale
A mask is required for droplet precautions. Droplets that are generated by the patient can be inhaled by individuals who are within close proximity. Wearing a mask can help to prevent the inhalation of these droplets.
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