A nurse is reinforcing discharge teaching to a client who has a new prescription for sertraline (Zoloft) for posttraumatic stress disorder. Which of the following statements should the nurse include?

"You may have a decreased desire for intimacy while taking this medication."

"You should take this medication at bedtime to help promote sleep."

"You will have fewer urinary adverse effects if you urinate just before taking this medication."

"You'll need to wear sunglasses then outdoors due to the light sensitivity caused by this medication."

Answer and Explanation

The Correct Answer is A

A. Sexual side effects, including decreased libido and difficulty achieving orgasm, are common with sertraline and should be included in discharge teaching.

B. Sertraline can be taken at any time of day and does not necessarily need to be taken at bedtime.

C. Urinary adverse effects are not typically associated with sertraline use.

D. Light sensitivity is not a common side effect of sertraline.

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Correct Answer is D

Explanation

A. Taking cholestyramine with food may interfere with its absorption, reducing its effectiveness.

B. Taking cholestyramine without food is not typically recommended.

C. Taking cholestyramine in the morning is not specifically indicated; it can be taken at any time of the day.

D. Taking cholestyramine with large amounts of fluid helps prevent gastrointestinal side effects and improves its effectiveness in lowering cholesterol levels.

A. Orange juice B. Coenzyme Q10 (CoQ10) supplements C. Grapefruit juice D. All fruit juices

Correct Answer is C

Explanation

A. Orange juice does not interact with simvastatin and does not need to be avoided.

B. Coenzyme Q10 (CoQ10) supplements are sometimes taken by patients on statins to help alleviate the side effects like muscle pain, but they do not need to be avoided.

C. Grapefruit juice should be avoided while taking simvastatin because it contains compounds that interfere with the enzymes that metabolize statins, potentially leading to increased drug levels and greater risk of side effects such as muscle damage.

D. Not all fruit juices interact with simvastatin; the specific concern is with grapefruit juice.

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A nurse is reinforcing discharge teaching to a client who has a new prescription for sertraline (Zoloft) for posttraumatic stress disorder. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is going to be started on cholestyramine (Questran), 6 mg three times daily.What instruction should the nurse provide to this client?

Correct Answer is D

Explanation

The nurse is caring for a client who is taking simvastatin (Zocor). What should the nurse instruct this client to avoid while taking this medication?

Correct Answer is C

Explanation

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