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A nurse is assessing a client who has been taking sertraline (Zoloft) for 2 weeks. The nurse should identify which of the following findings as an indication that the medication is effective?

A.

The client's blood pressure is within the expected reference range.

B.

The client reports a recent weight gain.

C.

The client reports an increase in mood.

D.

The client's legs are not swollen.

Answer and Explanation

The Correct Answer is C

A. While maintaining blood pressure within the expected range is important, it does not specifically indicate the effectiveness of sertraline, which is an antidepressant.  

 

B. Weight gain can occur with some antidepressants, but it is not a direct indicator of their effectiveness.  

 

C. An increase in mood is a primary goal of treatment with sertraline, and reporting this improvement suggests that the medication is having a positive effect.  

 

D. The absence of swollen legs is not a relevant indicator for assessing the effectiveness of sertraline, as it does not relate to mood or depression symptoms.


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Correct Answer is C

Explanation

A. While maintaining blood pressure within the expected range is important, it does not specifically indicate the effectiveness of sertraline, which is an antidepressant.

B. Weight gain can occur with some antidepressants, but it is not a direct indicator of their effectiveness.

C. An increase in mood is a primary goal of treatment with sertraline, and reporting this improvement suggests that the medication is having a positive effect.

D. The absence of swollen legs is not a relevant indicator for assessing the effectiveness of sertraline, as it does not relate to mood or depression symptoms.

Correct Answer is D

Explanation

A. Epinephrine is primarily used for anaphylaxis and severe asthma attacks; it is not effective in reversing opioid overdose.

B. Protamine is an antidote for heparin, not for opioid overdose.

C. Flumazenil is a benzodiazepine antagonist and is not indicated for opioid overdose; it can potentially precipitate seizures in patients with mixed drug overdoses.

D. Naloxone is an opioid antagonist specifically indicated for reversing the effects of opioid overdose, including respiratory depression, making it the appropriate choice in this scenario.

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