A client with posttraumatic stress disorder (PTSD) has been ...

[OSWALD]

A client with posttraumatic stress disorder (PTSD) has been prescribed sertraline. While educating this client about possible side effects, the nurse should stress that the client needs to call their health care provider if they experience which of the fo
 
  signs/symptoms? Select all that apply.
 
  A) Fatigue
  B) Constipation
  C) Dry eyes
  D) Muscle twitching
  E) Tachycardia (racing heart)

Question 2

A client with posttraumatic stress disorder (PTSD) has begun to stay out late every night and party with their friends. When family members ask about when the client is going to return to work,
 
  they become extremely irritated and verbal lashes out, saying some very hurtful things. The priority NANDA for this client would be which of the following?
 
  A) Risk of relocation stress syndrome
  B) Ineffective activity planning
  C) Anxiety
  D) Ineffective impulse control

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Answer to Question 1

Ans: D, E
The client/family should be taught to notify their health care provider if severe agitation, hallucinations, coordination problems, muscle twitching, racing heartbeat, high or low blood pressure, muscle rigidity, sweating or fever, nausea, vomiting, or diarrhea occur.

Answer to Question 2

Ans: D
Depending on the trauma, posttrauma syndrome, rape trauma syndrome, risk for suicide, anxiety, defensive coping, hopelessness, ineffective impulse control, and powerlessness are examples of nursing diagnoses generated by assessment of a client with PTSD.

[OSWALD]

TYSM

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