A nurse is reviewing a pamphlet about sertraline with a client who has post-traumatic stress disorder. Which of the following client statements indicates understanding of the information?

"This medication can cause a dry cough."

"I should call the provider if I experience excessive sweating and muscle twitching."

"This medication can cause harmless, temporary changes to my ability to taste and smell."

“I need to decrease my sodium intake while on this medication."

Answer and Explanation

The Correct Answer is B

A. "This medication can cause a dry cough.": A dry cough is not a common side effect of sertraline.

B. "I should call the provider if I experience excessive sweating and muscle twitching." Excessive sweating and muscle twitching could indicate serotonin syndrome, a potentially life-threatening condition associated with SSRIs like sertraline. Early recognition and prompt intervention are crucial.

C. "This medication can cause harmless, temporary changes to my ability to taste and smell.":
Changes in taste or smell are not typical side effects of sertraline. This statement is incorrect and does not reflect the drug's known side effect profile.

D. "I need to decrease my sodium intake while on this medication.": Sodium intake is not typically affected by sertraline use. However, sertraline can cause hyponatremia in some cases, especially in older adults.

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Correct Answer is C

Explanation

A. Incoherent speech: This is a symptom of severe or panic-level anxiety, not mild anxiety.

B. Chest pain: This is associated with more severe anxiety, particularly panic attacks.

C. Irritability: Mild anxiety can cause irritability and heightened awareness of surroundings, which may manifest as restlessness or slight tension.

D. Insomnia: While it can occur with anxiety, it is more commonly linked to moderate or severe levels.

A. Make a report to Child Protective Services (CPS). B. Call the police and report the suspected abuse. C. Alert the school office to call parents. D. Call the child's guardian to have the child's pediatrician confirm the suspected abuse.

Correct Answer is A

Explanation

A. Make a report to Child Protective Services (CPS). Nurses are mandated reporters and must report suspected abuse to the appropriate authorities, such as CPS, to ensure the safety of the child.

B. Call the police and report the suspected abuse: While police involvement may be necessary, CPS is the primary agency for child welfare and abuse cases.

C. Alert the school office to call parents: Informing the parents could place the child at further risk if the parents are the perpetrators.

D. Call the child’s guardian to have the child’s pediatrician confirm the suspected abuse: This delays reporting and does not ensure immediate intervention to protect the child.

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A nurse is reviewing a pamphlet about sertraline with a client who has post-traumatic stress disorder. Which of the following client statements indicates understanding of the information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?

Correct Answer is C

Explanation

A nurse working at a middle school suspects that a student is experiencing physical abuse after collecting data from the student. Which of the following actions should the nurse take next?

Correct Answer is A

Explanation

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