Author Question: Which common adverse effects of selective serotonin reuptake inhibitors (SSRIs) would be stressed by ... (Read 37 times)

yoooooman · **on:** Jul 23, 2018

Which common adverse effects of selective serotonin reuptake inhibitors (SSRIs) would be stressed by the nurse during patient discharge?

1. Drowsiness and coma
2. Weight gain and sexual dysfunction
3. Headache and nausea
4. Dry mouth and urine retention

Question 2

The nurse volunteers at a senior citizen center. The nurse assesses which senior citizen as having the greatest risk of developing heart failure?

1. A 50-year-old African American female who smokes
2. A 75-year-old Caucasian male who is overweight
3. A 69-year-old African American male with hypertension
4. A 52-year-old Caucasian female with asthma

xiaomengxian · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

2
Rationale 1: Drowsiness or coma is not a common adverse effect.
Rationale 2: Weight gain or sexual dysfunction are common adverse effects and may result in poor medication adherence.
Rationale 3: Headache is not a common adverse effect.
Rationale 4: Although anticholinergic effects such as dry mouth and urine retention could occur, they are not as common as another set of adverse effects.
Global Rationale: Although anticholinergic effects such as dry mouth and urine retention could occur, they are not as common as weight gain or sexual dysfunction. Headache is not a common adverse effect, and neither is drowsiness or coma. Overdoses will cause anxiety and restlessness (not drowsiness).

Answer to Question 2

3
Rationale 1: Race and smoking are risk factors, but being female and younger decreases the overall risk.
Rationale 2: Age and obesity are risk factors but not as much other risk factors.
Rationale 3: Age, race, and hypertension lead to an increased risk for developing heart failure.
Rationale 4: Asthma, by itself, is not considered a significant risk factor in the development of heart failure.
Global Rationale: Age, race, and hypertension lead to an increased risk for developing heart failure. Race and smoking are risk factors, but being female and younger decreases the overall risk. Age and obesity are risk factors, but not as much as age, Black race, and hypertension. Asthma, by itself, is not considered a significant risk factor in the development of heart failure.