A client, prescribed sertraline (Zoloft) for anxiety and ...

[Jramos095]

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

[ansleighelindsey]

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.

[Jramos095]

Thank you!

[ansleighelindsey]

Always glad to help...