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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Organic nitrates do not increase contractility and heart rate; they typically decrease myocardial oxygen demand.
B. Organic nitrates do not slow heart rate or decrease contractility of the heart.
C. The mechanism of action of organic nitrates in the treatment of angina is the relaxation of arterial and venous smooth muscle, leading to vasodilation and decreased myocardial oxygen demand.
D. Organic nitrates do not increase peripheral resistance; they typically cause vasodilation.
Correct Answer is A
Explanation
A. Fever is one of the hallmark symptoms of serotonin syndrome, along with other signs such as agitation, confusion, rapid heart rate, dilated pupils, and sweating.
B. Tinnitus is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.
C. Bruising is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.
D. Rash is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.
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