The nurse is caring for a client being treated for depression. The nurse understands that a selective serotonin reuptake inhibitor (SSRI) would be chosen as a first-line treatment option over a tricyclic antidepressant (TCA) for which of the following reasons?
To help prevent sexual dysfunction
To avoid weight gain and other gastrointestinal (GI) effects
To prevent the risk of serotonin syndrome
To reduce the risk of suicide with overdose
The Correct Answer is D
A selective serotonin reuptake inhibitor (SSRI) would be chosen as a first-line treatment option over a tricyclic antidepressant (TCA) for several reasons, including reducing the risk of suicide with overdose ³. TCAs have a higher potential for serious or fatal toxicity when taken in large amounts compared to SSRIs ³.
Option A is incorrect because SSRIs can cause sexual dysfunction as a side effect.
Option B is incorrect because both SSRIs and TCAs can cause weight gain and gastrointestinal (GI) effects.
Option C is incorrect because SSRIs can increase the risk of serotonin syndrome when taken with other medications that affect serotonin levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Cyclobenzaprine is structurally similar to tricyclic antidepressants (TCAs) and has similar anticholinergic side effects ³. Common anticholinergic side effects of cyclobenzaprine include dry mouth ¹⁵, constipation ¹⁵, and photophobia ³.
Option A is not correct because bradycardia is not a common side effect of cyclobenzaprine.
Option C is not correct because muscle rigidity, restless movements, and tremors are not common side effects of cyclobenzaprine.
Option D is not correct because flushing, tachycardia, and hives are not common side effects of cyclobenzaprine.
Correct Answer is C
Explanation
Dantrolene is a medication that can be used to manage symptoms of malignant hyperthermia ¹. Malignant hyperthermia is a life-threatening reaction to certain medications used during general anesthesia ².
Dantrolene works by inhibiting the release of calcium in the muscles, which helps control the condition and restore normal vital signs ³.
Option A is not correct because baclofen is not used to manage symptoms of malignant hyperthermia.
Option B is not correct because diazepam is not used to manage symptoms of malignant hyperthermia.
Option D is not correct because tizanidine is not used to manage symptoms of malignant hyperthermia.
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