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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Use negative reinforcement techniques to prevent the client from performing rituals: Negative reinforcement is not a therapeutic or evidence-based approach for managing OCD.
B. Determine the client's level of anxiety: Anxiety levels often influence compulsive behaviors. Assessing the client's anxiety helps guide interventions to manage it effectively.
C. Encourage avoidance of situations that increase anxiety: Avoidance reinforces the OCD cycle and is not a constructive coping strategy.
D. Interrupt the compulsive behavior: Abruptly interrupting rituals can increase the client’s anxiety and distress.
Correct Answer is A
Explanation
A. "I'd like to hear more about how you are feeling." This response demonstrates empathy and encourages the client to express her feelings, which is critical for emotional support.
B. "Let's talk about what is going on at work.": This dismisses the client’s concerns and shifts focus away from the abuse.
C. "Now that you have come for help, you will feel much better.": This is dismissive and minimizes the client’s experience.
D. "Why do you think your partner is angry with you?": This implies blame and can further traumatize the client.
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