A patient has been taking Sertraline (Zoloft) 20mg/ml oral concentrate 1ml daily for several weeks and reports being unable to sleep well.
What will the nurse do next?
Ask the patient what time of day the medication is taken.
Recommend asking the provider about weekly dosage.
Counsel the patient to take the medication at bedtime.
Suggest that the patient request a lower dose.
The Correct Answer is A
Choice A rationale
Asking the patient what time of day the medication is taken can help identify if taking it at a different time might alleviate sleep disturbances. SSRIs like sertraline can cause insomnia if taken later in the day.
Choice B rationale
Recommending a weekly dosage is inappropriate and could potentially disrupt the therapeutic effect. SSRIs should be taken daily, as prescribed.
Choice C rationale
Counseling the patient to take the medication at bedtime could worsen sleep disturbances, as sertraline may cause insomnia in some individuals. Timing should be adjusted based on patient response.
Choice D rationale
Suggesting a lower dose without consulting the provider may not address the issue effectively and could reduce the efficacy of the medication. Dosage adjustments should be made based on clinical assessment and provider recommendation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Cough and sneeze reflexes indeed serve to clear the airway of irritants and secretions.
Choice B rationale
Stating false would be incorrect as these reflexes are protective mechanisms for the respiratory system. .
Correct Answer is B
Explanation
Choice A rationale
Glycopyrrolate is an anticholinergic medication that reduces secretions in the mouth, throat, and airways but is not typically used for bronchospasm associated with COPD.
Choice B rationale
Ipratropium is an anticholinergic bronchodilator that is commonly used to treat bronchospasm associated with COPD. It works by relaxing the muscles around the airways to improve breathing.
Choice C rationale
Atropine is an anticholinergic medication used to treat bradycardia and reduce secretions but is not indicated for bronchospasm associated with COPD.
Choice D rationale
Flavoxate is a urinary antispasmodic used to relieve symptoms of bladder spasms but has no role in the treatment of bronchospasm associated with COPD.
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