A client, prescribed sertraline (Zoloft) for anxiety and depression, reports experiencing delayed ejaculation since being on this medication. Which response by the nurse is the most appropriate?
1. "I am concerned that you will become suicidal if you stop the medication."
2. "Keep taking the medicine, as this usually goes away after a few months."
3. "I will let your doctor know."
4. "This does happen, but treating your depression is a bigger priority."
Correct Answer: 3
Rationale 1: The client could become suicidal if he stops the medication, but this response does not address the client's concern.
Rationale 2: It is inappropriate to tell a client that the sexual dysfunction usually subsides, because it does not.
Rationale 3: One of the most common side effects of the selective serotonin reuptake inhibitors (SSRIs) relates to sexual dysfunction; up to 70% of men and women experience this. In men, delayed ejaculation and impotence can occur.
Rationale 4: It is inappropriate to tell a client that his depression is a higher priority. Sexual functioning is important to clients.
Global Rationale: One of the most common side effects of the selective serotonin reuptake inhibitors (SSRIs) relates to sexual dysfunction; up to 70% of men and women experience this. In men, delayed ejaculation and impotence can occur. The client could become suicidal if he stops the medication, but this response does not address the client's concern. It is inappropriate to tell a client that the sexual dysfunction usually subsides, because it does not. It is inappropriate to tell a client that his depression is a higher priority. Sexual functioning is important to clients.
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