An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds within the last month. Which client goal is most important to achieve within the first three days of treatment?

Understands the purpose of the medication regimen.

Sleeps at least six hours a night.

Describes the reasons for hospitalization.

Meets scheduled appointment with the dietitian.

Answer and Explanation

The Correct Answer is B

A.   Understanding the purpose of the medication regimen is important but might not be the most immediate concern.
B.   Improving sleep to at least six hours a night addresses the client's reported insomnia and supports their physical well-being.
C.   Describing the reasons for hospitalization might be essential for the client's understanding but might not have the immediate urgency.
D.   Meeting the scheduled appointment with the dietitian is important for nutritional concerns but might not directly address the client's reported sleep and weight loss within the first three days of treatment.

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Correct Answer is C

Explanation

A. A five-pound weight gain could be significant but might not require immediate reporting unless it continues to increase rapidly.
B. A depressed affect is concerning but may not warrant immediate reporting unless it signals a severe change in the client's mental state.
C. Nausea and vomiting could indicate lithium toxicity, a serious side effect requiring immediate attention and evaluation by the healthcare provider.
D. Short-term memory loss can be a side effect of lithium but might not pose an immediate threat unless severe or rapidly worsening.

A. Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication. B. Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol. C. Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily. D. Take the medication each morning beginning 48 hours after your last drink of alcohol.

Correct Answer is D

Explanation

A. Take the medication with at least 8 ounces (240 mL) of water and limit alcohol consumption while taking this medication is incorrect. Alcohol must be completely avoided while taking disulfiram, as even small amounts can cause a severe reaction (e.g., nausea, vomiting, headache, flushing, hypotension).

B. Begin taking the medication immediately and take it daily, regardless of whether or not you drink alcohol is incorrect. Disulfiram should not be started until at least 12–48 hours after the last drink to prevent an acute reaction.

C. Take the medication at bedtime and avoid consuming any more than one ounce of alcohol daily is incorrect. Alcohol must be strictly avoided in any amount.

D. Take the medication each morning beginning 48 hours after your last drink of alcohol is correct. Disulfiram should be initiated at least 12–48 hours after the last alcohol consumption to prevent adverse reactions. The medication is usually taken in the morning to promote adherence.

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An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds within the last month. Which client goal is most important to achieve within the first three days of treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?

Correct Answer is C

Explanation

A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?

Correct Answer is D

Explanation

Following the visit, what are appropriate actions for the nurse? Select all that apply.

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