A nurse is caring for a client who has a new prescription for sertraline to treat depression. Which of the following statements by the c indicates an understanding of the medication treatment plan?

"I will be able to stop taking this medication when I feel better."

"I understand I might experience difficulty concentrating while on this medication."

"I should decrease my sodium intake while on this medication”

“l am at an increased risk for developing chronic respiratory problems.”

Answer and Explanation

The Correct Answer is B

A. "I will be able to stop taking this medication when I feel better.": Abruptly stopping sertraline can lead to withdrawal symptoms and potential relapse of depression. Clients need to continue the medication as prescribed and taper under guidance if discontinuation is necessary.

B. "I understand I might experience difficulty concentrating while on this medication.": Difficulty concentrating is a common early side effect of sertraline, an SSRI. Understanding and anticipating this transient effect indicates the client has received appropriate education about expected medication responses.

C. "I should decrease my sodium intake while on this medication.": There is no specific restriction on sodium intake when taking sertraline. This statement reflects a misunderstanding of dietary precautions related to the medication.

D. "I am at an increased risk for developing chronic respiratory problems.": Sertraline does not increase the risk of chronic respiratory issues. This statement shows a misconception about the potential side effects of the medication.

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Correct Answer is B

Explanation

A. Encourage the client to talk about their feelings: During a panic attack, clients are often overwhelmed and unable to process or articulate feelings. Encouraging discussion is helpful later but is not the first priority during acute panic.

B. Assure the client that they are in a safe place: Ensuring the client feels safe addresses immediate anxiety and establishes a calming environment. Safety and emotional stabilization are the first priorities according to the nursing process when managing acute panic attacks.

C. Promote problem-solving with the client: Problem-solving requires cognitive processing, which is impaired during a panic attack. This intervention is appropriate after the client has calmed and is able to think clearly.

D. Explore behaviors that have worked to relieve anxiety in the past: Reviewing coping strategies is useful once the client’s acute panic symptoms are under control. It is not the immediate priority compared with ensuring safety and reducing immediate fear.

A. Digoxin 0.125 mg PO daily B. Strict intake and output C. Cardiac monitoring D. Spironolactone 25 mg PO daily

Correct Answer is A

Explanation

A. Digoxin 0.125 mg PO daily: Hypokalemia increases the risk of digoxin toxicity because low potassium enhances the drug’s effects on cardiac cells. Administering digoxin without correcting potassium levels can lead to life-threatening arrhythmias, so the nurse should verify this prescription with the provider before giving the medication.

B. Strict intake and output: Monitoring fluid balance is appropriate for a client with heart failure but does not pose immediate safety risks related to potassium levels. This action is standard and does not require prescription verification.

C. Cardiac monitoring: Continuous cardiac monitoring is a safe and appropriate nursing intervention for a client with heart failure and hypokalemia. It does not require verification from the provider and is essential for early detection of arrhythmias.

D. Spironolactone 25 mg PO daily: Spironolactone is a potassium-sparing diuretic and can help correct hypokalemia. Administering this medication is generally safe in this context and does not require additional verification related to the low potassium level.

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A nurse is caring for a client who has a new prescription for sertraline to treat depression. Which of the following statements by the c indicates an understanding of the medication treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has generalized anxiety disorder and is having a panic attack. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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