The client receives paroxetine (Paxil), and tells the nurse that ...

[lindiwe]

The client receives paroxetine (Paxil), and tells the nurse that sexual dysfunction has become a problem. What is the best response by the nurse?
 
  1. This side effect usually subsides in a few months.
  2. This is common. Please discuss it with your physician.
  3. Your depression is of primary concern right now.
  4. You should stop the medication right away.

Question 2

The client receives sertraline (Zoloft) and lithium. Which assessment data are most indicative of a potentially serious complication?
 
  1. Fever and lack of muscular coordination
  2. Dry mouth and constipation
  3. Anxiety and insomnia
  4. Nausea and headache

[tuwy]

Answer to Question 1

Correct Answer: 2

Rationale 1: This side effect usually subsides in a few months is incorrect because this side effect of sexual dysfunction usually does not subside with long-term use.
Rationale 2: The most common side effect of SSRIs relates to sexual dysfunction. Clients should be encouraged to discuss this with their physician. The side effect of sexual dysfunction usually does not subside with long-term use. The nurse should address physiological concerns with the client without being condescending. Clients should not abruptly stop paroxetine (Paxil) because of withdrawal side effects.
Rationale 3: Your depression is of primary concern right now is incorrect because the nurse should address physiological concerns with the client without being condescending.
Rationale 4: You should stop the medication right away is incorrect because clients should not abruptly stop paroxetine (Paxil), due to withdrawal side effects.

Global Rationale: The most common side effect of SSRIs relates to sexual dysfunction. Clients should be encouraged to discuss this with their physician. The side effect of sexual dysfunction usually does not subside with long-term use. The nurse should address physiological concerns with the client without being condescending. Clients should not abruptly stop paroxetine (Paxil) because of withdrawal side effects. This side effect usually subsides in a few months is incorrect because this side effect of sexual dysfunction usually does not subside with long-term use. Your depression is of primary concern right now is incorrect because the nurse should address physiological concerns with the client without being condescending. You should stop the medication right away is incorrect because clients should not abruptly stop paroxetine (Paxil), due to withdrawal side effects.

Answer to Question 2

Correct Answer: 1

Rationale 1: Fever and lack of muscular coordination could indicate serotonin syndrome, a serious complication of too much serotonin accumulation in the body. If untreated, death could occur.
Rationale 2: Dry mouth and constipation are incorrect because these are not side effects of sertraline (Zoloft).
Rationale 3: Anxiety and insomnia are incorrect because while anxiety and insomnia are side effects of sertraline (Zoloft), they are common and not life-threatening.
Rationale 4: Nausea and headache are incorrect because while nausea and headache are side effects of sertraline (Zoloft), they are common and not serious.

Global Rationale: Fever and lack of muscular coordination could indicate serotonin syndrome, a serious complication of too much serotonin accumulation in the body. If untreated, death could occur. Dry mouth and constipation are incorrect because these are not side effects of sertraline (Zoloft). Anxiety and insomnia are incorrect because while anxiety and insomnia are side effects of sertraline (Zoloft), they are common and not life-threatening. Nausea and headache are incorrect because while nausea and headache are side effects of sertraline (Zoloft), they are common and not serious.

[lindiwe]

TY

[tuwy]

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