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 D
Explanation
Flumazenil is a benzodiazepine antagonist that can be used as an antidote for lorazepam overdose ¹. It works by reversing the effects of benzodiazepines such as lorazepam ¹.
Option A is not correct because naloxone is an opioid antagonist and is not used to treat benzodiazepine overdose.
Option B is not correct because acetylcysteine is used to treat acetaminophen overdose and is not used to treat benzodiazepine overdose.
Option C is not correct because physostigmine is used to treat anticholinergic toxicity and is not used to treat benzodiazepine overdose.
Correct Answer is C
Explanation
The order states that morphine 1 mg should be given intravenously (IV) every 2 hours as needed for pain. This means that the nurse should assess the client's pain level every 2 hours and determine if 1 mg of morphine IV is needed to manage the pain.
Option A is incorrect because the order specifies that morphine should be given every 2 hours as needed, not every hour.
Option B is incorrect because the order specifies that morphine should be given intravenously (IV), not enterally.
Option D is incorrect because the order specifies that morphine should be given as needed for pain, not automatically every 2 hours.
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