This topic contains a solution. Click here to go to the answer

Author Question: A client, prescribed sertraline (Zoloft) for anxiety and depression, reports experiencing delayed ... (Read 81 times)

Jramos095

  • Hero Member
  • *****
  • Posts: 528
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.

Question 2

A client with bipolar disorder in the manic phase is started on lithium (Eskalith). The client's current lithium level is 0.4 mEq/L. What will the nurse expect to assess in this client?
 
  1. A return to baseline behavior: calm and rational
  2. Signs and symptoms of depression
  3. Hyperactivity and pressured speech
  4. A decrease in manic behavior



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ansleighelindsey

  • Sr. Member
  • ****
  • Posts: 364
Answer to Question 1

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.

Answer to Question 2

Correct Answer: 3
Rationale 1: The client will not return to baseline behavior but will continue in the manic phase until the lithium level is within a therapeutic range.
Rationale 2: The client will not exhibit signs and symptoms of depression but will continue in the manic phase.
Rationale 3: At the start of therapy, the lithium level should be maintained within the range of 0.8 to 1.4 mEq/L. Since this client's level is low, behaviors will indicate maniai.e., hyperactivity and pressured speech.
Rationale 4: There will be no decrease in manic behavior, because the lithium level is too low.
Global Rationale: At the start of therapy, the lithium level should be maintained within the range of 0.8 to 1.4 mEq/L. Since this client's level is low, behaviors will indicate maniai.e., hyperactivity and pressured speech. The client will not return to baseline behavior but will continue in the manic phase until the lithium level is within a therapeutic range. The client will not exhibit signs and symptoms of depression but will continue in the manic phase. There will be no decrease in manic behavior, because the lithium level is too low.





 

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Green tea is able to stop the scent of garlic or onion from causing bad breath.

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

Did you know?

When blood is deoxygenated and flowing back to the heart through the veins, it is dark reddish-blue in color. Blood in the arteries that is oxygenated and flowing out to the body is bright red. Whereas arterial blood comes out in spurts, venous blood flows.

For a complete list of videos, visit our video library