Author Question: A patient was prescribed sertraline (Zoloft) for the treatment of depression and anxiety. The ... (Read 103 times)

cookcarl · **on:** Jul 23, 2018

A patient was prescribed sertraline (Zoloft) for the treatment of depression and anxiety. The patient's spouse calls the clinic and reports the patient is increasingly moody and seems disconnected with life. What is the best response by the nurse?

1. Try giving him some diphenhydramine (Benadryl) to see if that helps him relax.
2. Bring him to the clinic for assessment today..
3. Hold his medication today and see if his mood improves.
4. Double the daily dose of sertraline (Zoloft) and call us back in three days.

Question 2

The young patient has a history of multiple allergies, and the physician prescribed epinephrine (EpiPen) for prevention of anaphylactic shock. The patient's mother says to the nurse, I thought shock was about heart failure. What is the best response by the nurse?

1. There are many kinds of shock: heart failure, nervous system damage, loss of blood, and respiratory failure.
2. Allergic response is the most fatal type of shock; other types involve loss of blood, heart failure, and liver failure.
3. There are many kinds of shock that also include infection, nervous system damage, and loss of blood.
4. Heart failure is the most serious kind of shock; others include infection, kidney failure, and loss of blood.

Chocorrol77 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

2
Rationale 1Diphenhydramine (Benadryl) is not indicated.Rationale 2: Sertraline (Zoloft) increases the risk of suicidal thinking and behavior. The patient must be assessed. Rationale 3: Holding the medication is not a sufficient intervention.Ration ale 4: Doubling the dose is not indicated and assessment should occur before next week.
Global Rationale: Sertraline (Zoloft) increases the risk of suicidal thinking and behavior. The patient must be assessed. Diphenhydramine (Benadryl) is not indicated. Holding the medication is not a sufficient intervention. Doubling the dose is not indicated and assessment should occur before next week.

Answer to Question 2

3
Rationale 1: Respiratory failure is not a type of shock.
Rationale 2: Liver failure is not a type of shock.
Rationale 3: Obvious bleeding suggests hypovolemic shock, trauma to the brain or spinal cord suggests neurogenic shock, inadequate cardiac output would suggest cardiogenic shock, a recent infection may indicate septic shock, and a history of allergies with a sudden onset of symptoms may suggest anaphylactic shock.
Rationale 4: Kidney failure is not a type of shock.
Global Rationale: Obvious bleeding suggests hypovolemic shock, trauma to the brain or spinal cord suggests neurogenic shock, inadequate cardiac output would suggest cardiogenic shock, a recent infection may indicate septic shock, and a history of allergies with a sudden onset of symptoms may suggest anaphylactic shock. Kidney failure is not a type of shock. Respiratory failure is not a type of shock. Liver failure is not a type of shock.