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 A

Explanation

A. Lithium toxicity can occur if the patient becomes dehydrated while taking lithium, as dehydration can lead to higher concentrations of lithium in the blood.

B. Increased effectiveness is not a consequence of dehydration while taking lithium.

C. Dehydration would not typically lead to the need to increase the lithium dosage but rather to the risk of toxicity.

D. Dehydration can lead to higher, not lower, serum lithium levels, increasing the risk of toxicity.

A. "Stable angina is predictable in its frequency, intensity, and duration. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest.” B. "Unstable angina is predictable in its frequency, intensity, and duration. Stable angina is when angina episodes become more frequent or severe, and occur during periods of rest.” C. "Stable angina is caused by spasms of the coronary arteries. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest.” D. "Unstable angina is caused by spasms of the coronary arteries. Stable angina is when angina episodes become more frequent or severe, and occur during period of rest."

Correct Answer is A

Explanation

A. Stable angina is predictable and typically occurs with exertion or emotional stress and is relieved with rest or nitroglycerin. Unstable angina is less predictable and more serious, occurring at rest, with minimal exertion, or worsening pattern from stable angina.

B. This answer misrepresents the characteristics and causes of stable and unstable angina, mixing definitions or incorrectly assigning causes.

C. This answer misrepresents the characteristics and causes of stable and unstable angina, mixing definitions or incorrectly assigning causes.

D. This answer misrepresents the characteristics and causes of stable and unstable angina, mixing definitions or incorrectly assigning causes.

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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

The nurse informs the patient to remain well hydrated while taking lithium because dehydration can lead to:

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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