For which of the following adverse effects should a nurse monitor a client taking citalopram?
Urinary retention
Decreased libido
Bruising
Jaundice
The Correct Answer is B
Choice A reason:
Urinary retention is not commonly associated with citalopram. Citalopram, an SSRI (Selective Serotonin Reuptake Inhibitor), primarily affects serotonin levels in the brain and does not typically impact the urinary system to the extent of causing retention.
Choice B reason:
Decreased libido is a known adverse effect of citalopram. SSRIs, including citalopram, can affect sexual function, leading to decreased libido, difficulty achieving orgasm, or erectile dysfunction. This is due to the increased serotonin levels which can negatively impact the sexual response cycle.
Choice C reason:
While bruising is not a hallmark side effect of citalopram, it can occur, especially if there is an interaction with other medications that affect blood clotting. Citalopram can potentially increase the risk of bleeding, and easy bruising may be a sign of this. However, it is less common than other side effects like sexual dysfunction.
Choice D reason:
Jaundice is not a typical adverse effect of citalopram. Jaundice usually indicates a problem with the liver, and while liver function abnormalities have been reported with citalopram use, they are rare. Monitoring for jaundice is not part of the routine assessment for patients on citalopram unless there is a pre-existing liver condition or concurrent use of other hepatotoxic drugs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Discussing relaxation techniques with the caregiver is a beneficial action that can help manage stress. However, it may not be the most immediate need for a caregiver who is in the midst of an emotional crisis. Relaxation techniques are more preventive and are best introduced when the caregiver is receptive and not overwhelmed by acute distress.
Choice B reason:
Referring the caregiver to a local support group is an excellent long-term strategy for providing support and resources. Support groups can offer a sense of community and shared experience, which is invaluable. Nonetheless, this action does not address the caregiver's immediate emotional needs and should follow after providing immediate emotional support.
Choice C reason:
Consulting social services to explore counseling options is an important step in supporting the caregiver's mental health. Counseling can provide professional assistance and coping strategies for the caregiver's stress and emotional burden. However, this is a step that should be taken after addressing the caregiver's immediate emotional distress.
Choice D reason:
Offering to talk with the caregiver about their feelings is the most immediate and direct way to provide support. It addresses the caregiver's current emotional state and provides an outlet for their feelings. Active listening and empathetic communication can help alleviate the caregiver's distress and serve as a bridge to further support and resources.
Correct Answer is B
Explanation
Choice A reason:
Staying in bed on days when feeling exhausted may seem like a reasonable self-care behavior, especially for someone with major depressive disorder. However, excessive bed rest can actually exacerbate depressive symptoms. It's important to balance rest with activities that promote a sense of accomplishment and well-being.
Choice B reason:
Using coping mechanisms that have been helpful in the past is a sign of understanding self-care teachings. It shows the client is applying learned strategies to manage their symptoms and is taking an active role in their own care. This proactive approach is encouraged in managing major depressive disorder.
Choice C reason:
While it may be necessary to avoid certain triggers, consistently avoiding talking about upsetting events can lead to suppression of emotions, which is not a healthy coping strategy. It's important for individuals with depression to express their feelings and work through their emotions.
Choice D reason:
Relying on a partner to plan out one's schedule every day can create dependency and reduce the sense of personal control and autonomy. While support from loved ones is valuable, the individual should be encouraged to take responsibility for their own schedule as part of their self-care routine.
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