A nurse is monitoring medication adherence and potential side effects for a woman with postpartum depression who is taking sertraline (Zoloft).
Which of the following side effects should the nurse report to the healthcare provider immediately?
Nausea
Headache
Insomnia
Serotonin syndrome
The Correct Answer is C
The correct answer is choice D. Serotonin syndrome.
Serotonin syndrome is a rare but serious condition that can occur when taking sertraline or other antidepressants that increase serotonin levels in the brain. It can cause symptoms such as agitation, confusion, muscle rigidity, fever, seizures and coma.
It requires immediate medical attention and can be life-threatening.
Choice A. Nausea is a common side effect of sertraline that usually improves over time or can be managed with anti-nausea medications.
It is not a serious concern unless it interferes with eating or drinking.
Choice B. Headache is another common side effect of sertraline that can be treated with painkillers such as paracetamol or ibuprofen.
It is not a sign of a serious problem unless it is severe or persistent.
Choice C. Insomnia is also a common side effect of sertraline that can be reduced by taking the medication in the morning or by avoiding caffeine and alcohol.
It is not a serious issue unless it affects your daily functioning or mental health.
Normal ranges for serotonin levels in the blood are 101–283 ng/mL.
Serotonin syndrome can occur when serotonin levels are too high, usually above 500 ng/mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Paroxetine is an antidepressant that belongs to the class of selective serotonin reuptake inhibitors (SSRIs).
It can cause withdrawal symptoms if stopped abruptly, such as nausea, dizziness, headache, and anxiety.Therefore, it is recommended to taper off this medication gradually when feeling better, under the guidance of a doctor.
Choice A is wrong because paroxetine does not usually cause nausea and does not need to be taken with food.Choice B is wrong because paroxetine does not cause constipation, but rather diarrhea as a common side effect.Choice C is wrong because paroxetine does not interact with grapefruit juice, unlike some other medications that are metabolized by the same enzyme.Grapefruit juice can increase or decrease the blood levels of some drugs, causing adverse effects or reduced efficacy.
Correct Answer is D
Explanation
The correct answer is choice D. All of the above.
The nurse should consider the woman’s preferences and needs, the availability and accessibility of services, and the cost and insurance coverage of services when making referrals for postpartum depression.
Choice A is wrong because it is not enough to consider only the woman’s preferences and needs.
The nurse should also take into account the practical aspects of accessing and affording the services.
Choice B is wrong because it is not enough to consider only the availability and accessibility of services.
The nurse should also respect the woman’s wishes and needs and help her find services that are suitable for her.
Choice C is wrong because it is not enough to consider only the cost and insurance coverage of services.
The nurse should also ensure that the services are available and accessible, and that they meet the woman’s preferences and needs.
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