A 71-year-old client with a complex medical history has recently ...

[vHAUNG6011]

A 71-year-old client with a complex medical history has recently been prescribed an SSRI for the treatment of depression. Which of the following components of the client's medical treatment may contraindicate the use of an SSRI?
 
  A) The client takes warfarin (Coumadin) due to her history of atrial fibrillation.
  B) The client takes furosemide (Lasix) to prevent peripheral edema.
  C) The client takes nonsteroidal anti-inflammatory drugs (NSAIDs) for the treatment of osteoarthritis.
  D) The client takes over-the-counter vitamin E supplements.

Question 2

A young client with a new diagnosis of bipolar I disorder is scheduled to begin therapy with lithium. Which of the following instructions should the nurse provide to this client?
 
  A) Try to limit your fluid intake to no more than four to six glasses per day.
  B) If you don't feel substantially different in a few days, increase your dose by 50.
  C) When you exercise, try to avoid doing so at the hottest times of the day.
  D) Try to adapt to a low-salt diet as soon as possible.

[daiying98]

Answer to Question 1

Ans: A
Caution is needed when SSRIs are prescribed concurrently with anticoagulants. Diuretics, NSAIDs, and vitamin supplements are not normally contraindicated.

Answer to Question 2

Ans: C
Heavy perspiration increases the possibility of adverse effects during lithium therapy. A high-fluid diet with normal levels of salt is indicated, and doses should not be independently adjusted.

[vHAUNG6011]

TYSM

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Excellent