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An older patient has a prescription for sertraline (Zoloft) 25 mg/day, P O. to be taken for 1 week and then increased to 50 mg/day the second week. The pharmacy gives the patient 50-mg tablets. How many tablets will the patient take per day during the first week?

One and one-half tablets

One-quarter of the tablet

One tablet

Half tablet

Answer and Explanation

The Correct Answer is D

A. One and one-half tablets would exceed the prescribed dose.

B. One-quarter of a tablet would be 12.5 mg, which is less than the prescribed 25 mg.

C. One tablet would provide 50 mg, which is double the prescribed dose for the first week.

D. Half a tablet of a 50 mg tablet would correctly provide the 25 mg dose prescribed for the first week.

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Correct Answer is D

Explanation

A. Fibric acids are a different class of lipid-lowering agents.

B. Bile acid resins are another class of drugs used to lower cholesterol but work differently.

C. Omega-3 fatty acids are used to lower triglycerides and improve heart health but are not HMG-CoA reductase inhibitors.

D. Statins are drugs that inhibit the enzyme HMG-CoA reductase, which is crucial in the synthesis of cholesterol, thereby lowering cholesterol levels.

A. Chew sugarless gum to prevent dry mouth B. Expect therapeutic effects in 24 to 48 hours C. Decrease dietary fiber intake to control diarrhea D. Discontinue the medication after a week of improved mood E. Change positions slowly to minimize dizziness

Correct Answer is ["A","E"]

Explanation

Explanation:

A. Imipramine commonly causes dry mouth as a side effect, so chewing sugarless gum can help alleviate this symptom.

B. Therapeutic effects of imipramine may not be felt until after several weeks of treatment, rather than within 24 to 48 hours.

C. Increasing dietary fiber intake can help alleviate constipation, a common side effect of imipramine, rather than decreasing it.

D. Discontinuing antidepressant medication abruptly, especially after a short period, can lead to withdrawal symptoms and a recurrence of depressive symptoms.

E. Imipramine can cause orthostatic hypotension, leading to dizziness upon standing, so changing positions slowly can help minimize this risk.

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An older patient has a prescription for sertraline (Zoloft) 25 mg/day, P O. to be taken for 1 week and then increased to 50 mg/day the second week. The pharmacy gives the patient 50-mg tablets. How many tablets will the patient take per day during the first week?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician tells the nurse an HMG-CoA reductase inhibitor has been ordered. What is another name for the type of drug?

Correct Answer is D

Explanation

A nurse is reinforcing teaching to a client who has a new prescription for imipramine (Tofranil) for treatment of depression. Which of the following should the nurse reinforce in the teaching? (Select all that apply)

Correct Answer is ["A","E"]

Explanation

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