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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sleepiness is not typically associated with a low lithium level.
B. A relaxed appearance is not typically associated with a low lithium level.
C. Calm behavior is not typically associated with a low lithium level.
D. A lithium level of 0.3 mEq/L is considered below the therapeutic range, which typically falls between 0.6 and 1.2 mEq/L. Therefore, a nurse would expect to assess symptoms of under-medication, such as potential recurrence of manic symptoms, such hyperactivity.
Correct Answer is B
Explanation
A. The symptoms described are characteristic of mania, not indicative of an overdose of barbiturates.
B. The symptoms described align with a manic episode, which is a hallmark feature of bipolar disorder.
C. These symptoms are not typically associated with lithium side effects.
D. The symptoms described are not consistent with depression but rather with mania.
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