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The patient on methylphenidate (Ritalin) should be assessed for:

Signs of weight loss

Renal toxicity

Hypotension

Extreme euphoria and insomnia

Answer and Explanation

The Correct Answer is A

A. Weight loss is a common side effect of methylphenidate (Ritalin) and should be monitored during treatment.

B. Methylphenidate is not typically associated with renal toxicity.

C. Methylphenidate can cause increases in blood pressure and heart rate, not hypotension.

D. Extreme euphoria and insomnia may indicate overstimulation or inappropriate dosing but are not typical side effects of methylphenidate.

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Correct Answer is A

Explanation

A. Fever and lack of muscular coordination may indicate symptoms of serotonin syndrome, a potentially serious complication that can occur when sertraline (an SSRI) is combined with lithium.

B. Nausea and headache are common side effects of sertraline and lithium but are not typically indicative of a serious complication when these medications are used together.

C. Anxiety and insomnia may be related to the underlying condition being treated (e.g., depression) but are not necessarily indicative of a serious complication.

D. Dry mouth and constipation are potential side effects of lithium but are not typically indicative of a serious complication when combined with sertraline.

A. Cholesterol is secreted as HDL B. Cholesterol is secreted in bile. C. Cholesterol is secreted through the kidneys. D. Cholesterol is secreted in sweat.

Correct Answer is B

Explanation

A. Cholesterol is carried in the bloodstream by lipoproteins, including HDL (high- density lipoprotein), but it is not secreted as HDL.

B. Cholesterol is primarily eliminated from the body through the liver, where it is secreted into bile and eventually excreted in feces.

C. Cholesterol is not typically eliminated through the kidneys but rather through the liver and bile.

D. Cholesterol is not secreted in sweat as a primary method of elimination.

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The patient on methylphenidate (Ritalin) should be assessed for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client receives sertraline (Zoloft) and lithium, Which assessment data are most indicative of a potentially serious complication?

Correct Answer is A

Explanation

The client asks how the body gets rid of cholesterol. Which response by the nurse is the most appropriate?

Correct Answer is B

Explanation

The nurse has just completed medication teaching regarding medications used to treat high cholesterol. Which statement made by the client indicates a need for further teaching?

The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

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?

A nurse is collecting data from a client who has been taking sertraline (Zoloft) for the past 2 weeks. Which of the following data collection findings should alert the nurse to the possibility that the client is developing serotonin syndrome?

The patient on methylphenidate (Ritalin) should be assessed for:

The nurse is describing angina to a family member of a client recently diagnosed with the condition. Which characterization of angina is the most appropriate?

A client has been prescribed diltiazem (Cardizem), and asks the nurse what type of drug this is. Which response by the nurse is most appropriate?