Author Question: Sertraline (Zoloft) has been prescribed for a patient with symptoms of a major depression. Which ... (Read 41 times)

aabwk4 · **on:** Jul 19, 2018

Sertraline (Zoloft) has been prescribed for a patient with symptoms of a major depression. Which factor was probably most important in the physician's decision to use an SSRI?

a. Good side-effect profile
b. Less expense for the patient
c. Increase in medication compliance
d. Rapid rate of absorption from the GI tract

Question 2

Which statement made by a patient who will be maintained on lithium following dis-charge will require further instruction by the nurse?

a. I will have my blood work done regularly.
b. When I get home, I may go on a salt-free diet.
c. I have learned not to restrict my intake of water.
d. I understand some people gain weight on lithium.

ryrychapman11 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
Compared to other antidepressant medication groups, SSRIs have the best side-effect profile. SSRIs are more costly. No studies have shown that SSRIs result in better compliance. These drugs are absorbed slowly from the GI tract.

Answer to Question 2

ANS: B
This statement shows that the patient does not understand the relationship between lithium and sodium. The patient must be taught that changing dietary salt intake will affect lithium levels. Adding salt can cause lower levels; reducing salt can result in toxicity. The remaining options reflect correct information regarding lithium therapy.