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?
The client's blood pressure is within the expected reference range.
The client reports a recent weight gain.
The client reports an increase in mood.
The client's legs are not swollen.
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
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B. Furosemide is a loop diuretic used primarily for fluid overload conditions and does not have a specific role in the treatment of open-angle glaucoma.
C. Acetazolamide is a carbonic anhydrase inhibitor that reduces aqueous humor production and is specifically used to lower intraocular pressure in clients with open-angle glaucoma.
D. Spironolactone is a potassium-sparing diuretic used mainly for conditions like heart failure and hypertension, and it is not indicated for the treatment of open-angle glaucoma.
Correct Answer is A
Explanation
A. Ferrous sulfate can stain the teeth; therefore, using a straw can help minimize this risk when taken in liquid form.
B. Iron absorption is actually reduced when taken with milk or dairy products due to calcium binding with iron, so this statement is incorrect.
C. Iron supplements are often associated with constipation, and taking them at night may not prevent this issue; in fact, taking them during the day with plenty of fluids and fiber is usually recommended.
D. Antacids can interfere with the absorption of iron, so it is not advisable to take them together.