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 B
Explanation
Explanation:
A. Noncompliance implies that the client is not following a prescribed treatment plan, which may not be the case here as the client is being educated.
B. Deficient knowledge reflects the need for education regarding lifestyle changes, such as dietary modifications, which is appropriate for a client newly diagnosed with hyperlipidemia.
C. Impaired health maintenance might be applicable if the client was not adhering to prescribed drug therapy, but this diagnosis doesn't address the need for education.
D. Self-care deficit may apply if the client is unable to perform necessary self-care activities due to physical limitations but does not address the educational aspect of dietary changes.
Correct Answer is B
Explanation
Explanation:
A. Beta blockers are used to manage blood pressure and heart rate but are a different class.
B. Isosorbide is a nitrate, which is used primarily to treat and prevent episodes of angina by relaxing and widening blood vessels.
C. Calcium channel blockers also manage blood pressure and chest pain but act through a different mechanism.
D. Glycoprotein IIb/IIIa receptor antagonists are used to prevent platelet aggregation and are typically used in acute coronary syndrome, not as a long-term treatment for angina.
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