For which of the following adverse effects should a nurse monitor a client taking citalopram?

Urinary retention

Decreased libido

Bruising

Jaundice

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason:
Writing a detailed daily activity schedule is not typically associated with acute mania. In fact, individuals experiencing mania often have difficulty maintaining structured routines due to their heightened energy levels and racing thoughts.

Choice B reason:
Refusing to engage in conversation is more indicative of depressive episodes rather than manic episodes. During mania, individuals are usually more talkative and may have pressured speech.

Choice C reason:
Isolating oneself from others is another behavior more commonly associated with depression. In contrast, those experiencing mania often seek out social interactions and may be overly sociable.

Choice D reason:
Reporting a lack of sleep is a hallmark symptom of acute mania. Individuals in a manic state often feel little need for sleep and may go for days with minimal rest without feeling tired. This lack of sleep can exacerbate other manic symptoms, such as irritability, impulsivity, and grandiosity.

A. Initiates social interactions with caregivers. B. Acknowledges that their delusions are not real. C. Changes behavior as a result of peer pressure. D. Meets own needs without manipulating others.

Correct Answer is A

Explanation

Choice A reason:
For an adolescent with autism spectrum disorder, initiating social interactions can be a significant challenge due to difficulties in communication and social skills. Including an outcome that focuses on initiating interactions with caregivers is appropriate as it targets a key area of development. This goal is realistic and measurable, and progress can be facilitated through various therapeutic interventions, such as social skills training and behavioral therapy.

Choice B reason:
Acknowledging delusions is not typically associated with autism spectrum disorder. Delusions are more commonly related to other mental health conditions, such as schizophrenia. Autism spectrum disorder primarily involves challenges with social communication and interaction, repetitive behaviors, and restricted interests.

Choice C reason:
Changing behavior due to peer pressure is not a specific or appropriate outcome for an adolescent with autism spectrum disorder. The focus should be on developing individual skills and coping mechanisms that are independent of peer influence. Additionally, individuals with autism may not respond to peer pressure in the same way as their neurotypical peers.

Choice D reason:
Meeting one's own needs without manipulating others is a broad outcome that may not directly address the specific needs of an adolescent with autism spectrum disorder. While it is important for all individuals to develop autonomy, this outcome does not target the core areas affected by autism, such as social communication and interaction.

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For which of the following adverse effects should a nurse monitor a client taking citalopram?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

Correct Answer is D

Explanation

A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?

Correct Answer is A

Explanation

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