A nurse is teaching a client who is being treated for depression with escitalopram. Which of the following statements by the client should the nurse identify as an adverse effect?
"I feel like my heart is skipping beats."
"I have noticed that I have decreased sexual interest."
"I have recently lost 7 pounds."
"I feel less anxious when I am around my friend."
The Correct Answer is B
A. "I feel like my heart is skipping beats.": Palpitations can occur with some medications, but they are less common with escitalopram. This may warrant further assessment but is not a typical adverse effect of the drug.
B. "I have noticed that I have decreased sexual interest.": Sexual dysfunction, including decreased libido, delayed ejaculation, and anorgasmia, is a well-known adverse effect of selective serotonin reuptake inhibitors (SSRIs) like escitalopram.
C. "I have recently lost 7 pounds.": Weight changes can occur with antidepressants, but mild weight loss is not typically considered a primary adverse effect of escitalopram and may reflect other factors.
D. "I feel less anxious when I am around my friend.": This statement reflects the therapeutic effect of escitalopram in reducing anxiety and improving mood, rather than an adverse effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Insomnia: Insomnia is not a typical sign of an allergic reaction. It may occur as a nonspecific side effect of illness or other medications but is not indicative of hypersensitivity to sulfamethoxazole-trimethoprim.
B. Photosensitivity: Photosensitivity is a known adverse effect of sulfamethoxazole-trimethoprim but is not an allergic reaction. It results in increased susceptibility to sunburn rather than an immune-mediated response.
C. Hallucinations: Hallucinations are a rare neurologic side effect and are unrelated to allergic reactions. They may occur with severe systemic toxicity but are not typical of hypersensitivity.
D. Wheezing: Wheezing indicates bronchospasm and airway involvement, which are classic signs of an allergic reaction. It reflects hypersensitivity and may progress to anaphylaxis, requiring immediate attention.
Correct Answer is B
Explanation
A. Increased calcium level: Furosemide is a loop diuretic that promotes the excretion of electrolytes, including calcium. An increased calcium level would not indicate a therapeutic response and may suggest another metabolic issue.
B. Decreased urine specific gravity: Furosemide increases urine output by inhibiting sodium and water reabsorption in the loop of Henle. A decreased urine specific gravity reflects more dilute urine, which indicates effective diuresis and a therapeutic response.
C. Decreased liver enzymes: Furosemide does not have a direct effect on liver enzyme levels. Changes in liver enzymes would not reflect the effectiveness of the diuretic therapy.
D. Increased serum sodium level: Loop diuretics like furosemide can lead to sodium loss rather than an increase. An elevated serum sodium level would not indicate a therapeutic effect of the medication.
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