A patient was prescribed sertraline (Zoloft) for the treatment of depression and anxiety. The patient's spouse calls the clinic and reports the patient is increasingly moody and seems "disconnected with life." What is the best response by the nurse?
1. "Try giving him some diphenhydramine (Benadryl) to see if that helps him relax."
2. "Bring him to the clinic for assessment today.."
3. "Hold his medication today and see if his mood improves."
4. " "Double the daily dose of sertraline (Zoloft) and call us back in three days."
2
Rationale 1Diphenhydramine (Benadryl) is not indicated.Rationale 2: Sertraline (Zoloft) increases the risk of suicidal thinking and behavior. The patient must be assessed. Rationale 3: Holding the medication is not a sufficient intervention.Rationale 4: Doubling the dose is not indicated and assessment should occur before next week.
Global Rationale: Sertraline (Zoloft) increases the risk of suicidal thinking and behavior. The patient must be assessed. Diphenhydramine (Benadryl) is not indicated. Holding the medication is not a sufficient intervention. Doubling the dose is not indicated and assessment should occur before next week.
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