What is the responsibility of the nurse related to the patient’s drug therapy? Select all that apply.

Choice A rationale

While "Drug Facts and Comparisons" is a comprehensive source, it is primarily used by pharmacists rather than nurses. Nurses might find it less practical for their day-to-day needs as it is detailed and more suited to in-depth drug comparisons.

Choice B rationale

A nurse drug guide is designed specifically for nurses and includes practical information for administering medications, understanding side effects, and nursing considerations. It’s tailored to the needs of nursing practice.

Choice C rationale

A drug package insert provides detailed information about a specific drug, including indications, dosage, and side effects. However, it lacks the breadth of information about multiple drugs and nursing considerations compared to a nurse drug guide.

Choice D rationale

The Physician’s Drug Reference (PDR) is an excellent resource but is more suited for physicians. It provides detailed drug information but may not focus on nursing-specific considerations and practical administration advice.

Choice A rationale

Asking the patient what time of day the medication is taken can help identify if taking it at a different time might alleviate sleep disturbances. SSRIs like sertraline can cause insomnia if taken later in the day.

Choice B rationale

Recommending a weekly dosage is inappropriate and could potentially disrupt the therapeutic effect. SSRIs should be taken daily, as prescribed.

Choice C rationale

Counseling the patient to take the medication at bedtime could worsen sleep disturbances, as sertraline may cause insomnia in some individuals. Timing should be adjusted based on patient response.

Choice D rationale

Suggesting a lower dose without consulting the provider may not address the issue effectively and could reduce the efficacy of the medication. Dosage adjustments should be made based on clinical assessment and provider recommendation.