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

Fever and lack of muscular coordination

Nausea and headache

Anxiety and insomnia

Dry mouth and constipation

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is D

Explanation

A. Suspended release formulations typically have a slower onset of action compared to sublingual administration.

B. Transdermal patches provide a slow, continuous release of nitroglycerin and do not offer rapid onset.

C. Topical ointments have a slower onset of action compared to sublingual administration.

D. Sublingual administration of nitroglycerin provides the most rapid onset of action due to direct absorption through the oral mucosa.

A. It interferes with how cholesterol is made B. Its action is not understood. C. It binds to cholesterol and inhibits its production. D. It makes the body excrete cholesterol quicker.

Correct Answer is A

Explanation

A. Atorvastatin (Lipitor) is a statin medication that works by inhibiting the enzyme HMG-CoA reductase, which plays a key role in cholesterol synthesis in the liver, thereby lowering cholesterol levels.

B. Atorvastatin's mechanism of action is well understood; it is not accurate to say its action is not understood.

C. Atorvastatin does not bind to cholesterol; instead, it inhibits its production in the liver.

D. Atorvastatin does not directly cause the body to excrete cholesterol but rather reduces its production in the liver.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Correct Answer is D

Explanation

The client asks the nurse how atorvastatin (Lipitor) will help lower cholesterol. Which response by the nurse is most appropriate?

Correct Answer is A

Explanation

Because HDL transports cholesterol for destructions and removes it from the body, it is considered “ ” cholesterol.

The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.)

What drug classification is considered the drug of choice to decrease triglyceride levels?

The nurse is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the nurse to question administering this drug?

What is the term for a medical condition, caused by statins, in which the muscle tissue becomes extremely inflamed, resulting in the breakdown of muscle?

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?

A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply)

The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 mEq/L?