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
Treatment of narcotic dependence involves using a narcotics antagonist to block the effects of narcotics. This helps prevent relapse in patients recovering from narcotic addiction by decreasing cravings and withdrawal symptoms.
Choice B rationale
Treatment of alcohol dependence does not typically involve narcotics antagonists. Instead, medications like disulfiram or naltrexone are used to manage alcohol dependence.
Choice C rationale
Reversal of tachycardia is not an indication for a narcotics antagonist. Tachycardia is usually managed with medications like beta-blockers or calcium channel blockers.
Choice D rationale
Reversal of bronchoconstriction is not an indicator for narcotics antagonists. Bronchoconstriction is usually treated with bronchodilators such as albuterol or ipratropium.
Correct Answer is A
Explanation
Step 1 is (120 mL ÷ 60 min) × 15 gtt/mL.
Step 2 is (2 mL/min) × 15 gtt/mL.
Step 3 is 30 gtt/min.
Final calculated answer is 30 gtt/min.
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