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A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2
weeks ago with a planned dosage increase 1 week ago. The client reports having an improved
appetite, but still feels very depressed and is still having trouble sleeping. Which of the following
actions should the nurse take?
A. Speak to the provider about adding an MAOI to the current medication regimen.
B. Explain that antidepressants often take several weeks to be fully effective.
C. Tell the client that the provider will need to change citalopram to a different medication.
D. Recommend a sleep study be done on the client.
B
A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of
the following statements by the client indicates and understanding of the teaching?
A. I should expect to feel better are 24 hours of starting this medication.
B. I should not take this medicine with grapefruit juice.
C. Ill take this medicine with food.
D. Ill take this medicine first thing in the morning.
D
A nurse is providing dietary teaching for a client who has a new prescription for a MOAI. When the
client develops a sample lunch menu, which of the following items requires intervention by the nurse?
A. Glass of whole milk
B. Celery sticks
C. Bologna sandwich
D. Sliced apples
C
A nurse is teaching a client who has depression about a new prescription for fluoxetine 20mg daily.
Which of the following statements by the client indicates understanding of the teaching?
A. I should expect relief from depression within 3 to 4 days.
B. I will take my fluoxetine at bedtime so I can sleep better.
C. I should notify my provider if I develop a skin rash.
D. I will notice an improvement in the sex drive.
C
A nurse is assessing a client who has been taking sertraline for 2 weeks. The nurse should identify
which of the following findings as an indication that the medication is effective?
A. The client's BP is within the expected reference range.
B. The client reports a recent weight loss.
C. The client reports increase in mood.
D. The client's legs are not swollen.
, C
A nurse is reinforcing teaching with an older adult client who has major depressive disorder and a
prescription for nortriptyline 25mg daily. Which of the following client statements indicates
understanding of the teaching?
A. I should take my nortriptyline before breakfast.
B. I can no longer eat pepperoni pizza.
C. I will avoid drinking caffeinated beverages.
D. I should sit on the side of the bed before standing up in the morning.
D
A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the
following adverse effects.
A. Orthostatic hypotension
B. Drooling
C. Diarrhea
D. Metallic taste in mouth
A
A nurse is teaching male client who has a depressive disorder about sertraline. Which of the following
information should the nurse include in the teaching?
A. This medication may cause and inability to orgasm.
B. You will notice an improvement in mood within 2-3 days.
C. A fever is an expected adverse effect of the medication.
D. Sertraline can cause temporary muscle rigidity.
A
A nurse is providing teaching to the parents of an adolescent who has a depressive disorder and a new
prescription for trazodone. Which of the following information should the nurse include in the
teaching?
A. Trazadone can cause suicidal thoughts in adolescents.
B. Expect your child to lose weight which taking trazodone.
C. Your child's symptoms of depression should improve within one week.
D. Trazodone should be taken in the morning to prevent insomina.
A
A nurse is teaching a client who has new prescription for alprazolam to treat insomnia. Which of the
following instructions should the nurse included?
A. Take this medication every night before sleep.
B. Take this medication with a high fat meal.
C. Avoid activities that require alertness such as driving.
D. Monitor for urinary retention.
C