Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?
"I'll let your doctor know, and he may order a different medication."
"These medications usually take a few weeks to bring about an improvement in your symptoms."
"It is important to eat a more balanced diet to help this medication work."
"The important thing now is getting more involved in patient activities."
The Correct Answer is B
Choice A reason: While it's important to communicate with the doctor, this does not provide immediate reassurance or information about the medication's typical onset of action.
Choice B reason: This is the most accurate response as SSRIs like sertraline (Zoloft) typically take several weeks to show full effects, and it's important for patients to understand this.
Choice C reason: While a balanced diet is important, it is not directly related to the effectiveness of sertraline in the short term.
Choice D reason: Encouraging involvement in activities is beneficial, but it does not address the patient's concern about the medication's effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:Coronary artery bypass graft surgery (CABG) is not primarily performed to increase blood flow to the myocardium. Instead, it aims to restore blood flow to areas of the heart affected by blockages.
Choice B Reason:CABG does not intentionally decrease blood flow to the coronary arteries. On the contrary, it creates a new pathway to bypass blocked or partially blocked coronary arteries, improving blood flow to the heart muscle.
Choice C Reason:The primary purpose of CABG is to treat coronary artery disease by restoring blood flow to areas of the heart that aren't receiving enough blood. It involves using healthy blood vessels (usually from the chest or leg) to create a detour around blockages. By doing so, CABG improves heart function and reduces symptoms related to ischemia.
Choice D Reason:While CABG can indirectly prevent spasms of the coronary arteries by improving blood flow, it is not its primary purpose.
Correct Answer is C
Explanation
Choice A reason: Hearing deficits are not commonly associated with digoxin toxicity. The typical symptoms involve gastrointestinal, neurological, and visual changes³.
Choice B reason: Jaundice is not a manifestation of digoxin toxicity. It is more commonly related to liver conditions³.
Choice C reason: Anorexia is a common symptom of digoxin toxicity, along with nausea, vomiting, and abdominal pain. These gastrointestinal symptoms are important indicators for nurses to monitor³.
Choice D reason: Ataxia, or lack of muscle coordination, is not a typical sign of digoxin toxicity. The primary concerns with toxicity are cardiac arrhythmias and gastrointestinal symptoms³.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.