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The nurse is caring for a client who has begun to take sertraline (Zoloft) for newly diagnosed depression. Which of the following conditions is associated with an overdose of this medication class?

A.

Tardive Dyskinesia

B.

Serotonin syndrome

C.

Hypertensive Emergency

D.

Extrapyramidal Syndrome

Answer and Explanation

The Correct Answer is B

A. Tardive dyskinesia is primarily associated with long-term use of antipsychotics, not SSRIs like sertraline.  

 

B. Serotonin syndrome is a serious condition that can occur with overdose or interaction of SSRIs, leading to symptoms such as agitation, confusion, rapid heart rate, and increased muscle tone.  

 

C. Hypertensive emergency is not typically associated with SSRIs; it is more related to the use of MAOIs and certain foods.  

 

D. Extrapyramidal syndrome is also primarily linked to antipsychotics rather than SSRIs and would not be a concern with sertraline use.


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View Related questions

Correct Answer is B

Explanation

A. Bradycardia is not a common side effect of atorvastatin and would not necessarily require immediate reporting unless it is significantly low and symptomatic.

B. Dark-red urine could indicate the presence of myoglobinuria, which can occur due to rhabdomyolysis, a serious side effect of statins like atorvastatin that necessitates immediate medical attention.

C. Elevated HDL cholesterol is generally a positive finding and does not require reporting unless it is part of a larger adverse effect context.

D. A migraine headache, while concerning, is not a known side effect specifically associated with atorvastatin and may not require immediate intervention unless severe or persistent.

Correct Answer is C

Explanation

A. PT/INR is not the appropriate measure for heparin therapy, as heparin is monitored using activated partial thromboplastin time (aPTT). This response could mislead the client regarding treatment expectations.

B. While it may take time to reach therapeutic levels, this statement doesn't clarify that heparin is not a clot-dissolving agent.

C. Heparin prevents the extension of existing clots and the formation of new clots but does not actively dissolve clots already present.

D. This statement incorrectly suggests that immediate effects are seen, which is not the case as heparin's action involves prevention rather than dissolution.

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