The client receives sertraline (Zoloft) and lithium. Which assessment data are most indicative of a potentially serious complication?
1. Fever and lack of muscular coordination
2. Dry mouth and constipation
3. Anxiety and insomnia
4. Nausea and headache
Correct Answer: 1
Rationale 1: Fever and lack of muscular coordination could indicate serotonin syndrome, a serious complication of too much serotonin accumulation in the body. If untreated, death could occur.
Rationale 2: Dry mouth and constipation are incorrect because these are not side effects of sertraline (Zoloft).
Rationale 3: Anxiety and insomnia are incorrect because while anxiety and insomnia are side effects of sertraline (Zoloft), they are common and not life-threatening.
Rationale 4: Nausea and headache are incorrect because while nausea and headache are side effects of sertraline (Zoloft), they are common and not serious.
Global Rationale: Fever and lack of muscular coordination could indicate serotonin syndrome, a serious complication of too much serotonin accumulation in the body. If untreated, death could occur. Dry mouth and constipation are incorrect because these are not side effects of sertraline (Zoloft). Anxiety and insomnia are incorrect because while anxiety and insomnia are side effects of sertraline (Zoloft), they are common and not life-threatening. Nausea and headache are incorrect because while nausea and headache are side effects of sertraline (Zoloft), they are common and not serious.
You might also like to view...
Protein binding
a. Refers to the time required for half the medication to be excreted or inactivated b. Refers to the capacity of proteins in the bloodstream to be binding sites for drugs c. Is how medications move into and through the body d. Refers to the effect of specific medications at the site of action
Appropriate preventive measures for the nurse to take to prevent circulatory overload include:(Select all that apply)
1. Practice consistent hand hygiene 2. Monitor infusions frequently 3. Ensure sterile dressing to insertion site 4. Monitor insertion site routinely 5. Make accurate fluid calculations
While monitoring a patient for signs of shock, the nurse understands which system assessment to be of priority?
a. Central nervous system b. Gastrointestinal system c. Renal system d. Respiratory system
Which of the following levels of risk for suicide entails a thought that indicates the person's desire to do self-harm?
A) Suicidal gesture B) Suicidal threat C) Suicidal ideation D) Suicide attempt