203) ANSWER
A) Sertraline is most often taken as a morning dose.
E) It is possible that sexual side effects will occur.
RATIONALE
The nurse should know that one of the common side effects of sertraline (Zoloft) is insomnia. Therefore, most clients are given sertraline (Zoloft) early in the day. Sexual side effects to sertraline (Zoloft) and other SSRIs are common. One way to decrease the likelihood of noncompliance is to inform the client that prompt reporting of such side effects can lead to corrective treatment measures. It is important for the nurse to know that diarrhea is a much more common side effect to sertraline (Zoloft) than is constipation (option 2). It is vital for the nurse to know that all persons taking sertraline (Zoloft) or other SSRIs should be taught to recognize early symptoms of possible central serotonin syndrome (option 3). Such symptoms include sudden onset fever, sweating, and extrapyramidal side effects (EPS). The development of central serotonin syndrome is a rare medical emergency, but the client will need intensive medical treatment because the mortality rate is very high. The nurse should teach the client that while some reduction in symptoms may occur in a relatively short period of time, it may be several weeks before full therapeutic effects are realized (option 4). Without this knowledge, clients often become discouraged and think that the medication is ineffective. Translate the statements of the nurse into medical terminology and then determine if each option is related to a known side effect of sertraline (Zoloft). .
A) Sertraline is most often taken as a morning dose.
E) It is possible that sexual side effects will occur.
RATIONALE
The nurse should know that one of the common side effects of sertraline (Zoloft) is insomnia. Therefore, most clients are given sertraline (Zoloft) early in the day. Sexual side effects to sertraline (Zoloft) and other SSRIs are common. One way to decrease the likelihood of noncompliance is to inform the client that prompt reporting of such side effects can lead to corrective treatment measures. It is important for the nurse to know that diarrhea is a much more common side effect to sertraline (Zoloft) than is constipation (option 2). It is vital for the nurse to know that all persons taking sertraline (Zoloft) or other SSRIs should be taught to recognize early symptoms of possible central serotonin syndrome (option 3). Such symptoms include sudden onset fever, sweating, and extrapyramidal side effects (EPS). The development of central serotonin syndrome is a rare medical emergency, but the client will need intensive medical treatment because the mortality rate is very high. The nurse should teach the client that while some reduction in symptoms may occur in a relatively short period of time, it may be several weeks before full therapeutic effects are realized (option 4). Without this knowledge, clients often become discouraged and think that the medication is ineffective. Translate the statements of the nurse into medical terminology and then determine if each option is related to a known side effect of sertraline (Zoloft). .
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