The nurse is assessing a patient who was prescribed sertraline 1 week ago. The patient states,
"This medication isn't working; I feel no different." Which nursing response is appropriate? - ANS
"It can take 4 weeks or longer for the medication to be effective."
It may take 4 weeks (or up to 8 to 12 weeks) for the patient to feel the medication's effects.
A patient with major depressive disorder and generalized anxiety disorder has been prescribed
duloxetine. The patient asks, "Isn't my health care provider also prescribing something for
anxiety?" Which nursing response is appropriate? - ANS "Duloxetine has been approved for use
in treating both major depressive disorder and generalized anxiety disorder."
Duloxetine has been approved to treat both major depressive disorder and generalized anxiety
disorder.
A patient who has just been prescribed lithium needs a laboratory appointment to determine
serum levels for efficacy of treatment. When will the nurse schedule the appointment? - ANS 2
weeks later
It takes up to 1 to 2 weeks for lithium to reach a steady state. The nurse will schedule the
appointment for 2 weeks later.
What dietary teaching will the nurse provide to Mr. Chandler who is taking lithium and sertraline
and started a low-sodium diet 3 months ago to control his blood pressure? - ANS "Resume your
normal diet, and monitor your blood pressure daily."
A normal diet can be consumed while on lithium. The patient should not be eating a low-sodium
diet because this can contribute to lithium toxicity.
The nurse is preparing to administer sertraline to a patient who reports taking warfarin. Which
nursing action is appropriate? - ANS Hold the medication and contact the health care provider.
The nurse needs to hold the medication and contact the health care provider. Sertraline is used
with extreme caution in patients taking warfarin because of an increased risk for bleeding. The
nurse needs to confirm the health care provider's prescription.
When caring for a patient who is starting sertraline, which side effect specific to this medication
would the nurse discuss? - ANS Sexual dysfunction
Sexual dysfunction is a side effect of sertraline.
The nurse is caring for a patient with a newly prescribed serotonin-norepinephrine reuptake
inhibitor (SNRI). Which patient statement indicates the need for more teaching? - ANS "I am
glad I will feel better in 24 to 48 hours."
It may take more than a week for a patient to begin feeling better after starting an SNRI; the
nurse will need to provide further education to patients who state they will feel better in 24 to 48
hours.
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