A nurse is providing discharge teaching to a client who has postpartum depression and a prescription for sertraline (Zoloft).
Which of the following statements by the client indicates an understanding of the teaching?
. “I should take this medication at bedtime.”
“I can breastfeed my baby while taking this medication.”
“I should stop taking this medication if I have dry mouth.”
“I can drink alcohol in moderation while taking this medication.”
The Correct Answer is B
The correct answer is choice B. “I can breastfeed my baby while taking this medication.” Sertraline (Zoloft) is one of the preferred antidepressants to take when breastfeeding and has been used by many breastfeeding mothers without any problems It passes into breast milk in very small amounts and has been linked with side effects in very few breastfed babies
Choice A is wrong because sertraline can cause insomnia and taking it at bedtime might worsen this side effect
Choice C is wrong because dry mouth is a common and mild side effect of sertraline that does not require stopping the medication
Choice D is wrong because alcohol can interact with sertraline and increase the risk of side effects such as drowsiness, dizziness, and impaired coordination
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation..
The correct answer is choice B. The client has a family history of bipolar disorder.According to the American Psychological Association, a family history of depression or mental illness is one of the risk factors for postpartum depression.Postpartum depression is a mood disorder that affects some women after giving birth and can cause symptoms such as sadness, anxiety, irritability, guilt, and difficulty bonding with the baby.
Choice A is wrong because an uncomplicated vaginal delivery is not a risk factor for postpartum depression.In fact, complications during childbirth can increase the risk of developing this condition.
Choice C is wrong because being 25 years old and primiparous (having given birth for the first time) is not a risk factor for postpartum depression.However, age can be a factor if the mother is very young or older than average.
Choice D is wrong because planning and desiring the pregnancy is not a risk factor for postpartum depression.On the contrary, having an unplanned or unwanted pregnancy can increase the risk of developing this condition.
Correct Answer is C
Explanation
The correct answer is choice C. Choice C is wrong because it shows a lack of understanding and empathy for the woman with postpartum depression.
Postpartum depression is not a sign of weakness and it is not something that can be easily overcome by willpower.It is a serious mental health condition that affects up to 15% of new parentsand requires professional treatment.
Choice A is correct because it shows support and compassion for the woman with postpartum depression.It also acknowledges that postpartum depression is not her fault and she needs help to recover.
Choice B is correct because it shows awareness of the common symptoms of postpartum depression, such as mood swings, low energy and appetite changes.
These symptoms can affect the woman’s ability to care for herself and her baby.
Choice D is correct because it shows encouragement for the woman to seek help from a support group or a therapist.Psychotherapy, also called talk therapy or counseling, is an effective treatment for postpartum depression.
It can help the woman cope with her feelings, thoughts and challenges.
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