Antidepressant and Mood Stabilizer Drug Therapy pharm 315 week 5

Antidepressant and Mood Stabilizer Drug Therapy pharm 315 week 5 The nurse is assessing a patient who was prescribed sertraline 1 week ago. The patient states, "This medication isn't working; I feel no different." Which nursing response is appropriate? - ANSWER "It can take 4 weeks or longer for the medication to be effective." It may take 4 weeks (or up to 8 to 12 weeks) for the patient to feel the medication's effects. A patient with major depressive disorder and generalized anxiety disorder has been prescribed duloxetine. The patient asks, "Isn't my health care provider also prescribing something for anxiety?" Which nursing response is appropriate? - ANSWER "Duloxetine has been approved for use in treating both major depressive disorder and generalized anxiety disorder." Duloxetine has been approved to treat both major depressive disorder and generalized anxiety disorder. A patient who has just been prescribed lithium needs a laboratory appointment to determine serum levels for efficacy of treatment. When will the nurse schedule the appointment? - ANSWER 2 weeks later It takes up to 1 to 2 weeks for lithium to reach a steady state. The nurse will schedule the appointment for 2 weeks later. What dietary teaching will the nurse provide to Mr. Chandler who is taking lithium and sertraline and started a low-sodium diet 3 months ago to control his blood pressure? - ANSWER "Resume your normal diet, and monitor your blood pressure daily." A normal diet can be consumed while on lithium. The patient should not be eating a low-sodium diet because this can contribute to lithium toxicity. The nurse is preparing to administer sertraline to a patient who reports taking warfarin. Which nursing action is appropriate? - ANSWER Hold the medication and contact the health care provider. The nurse needs to hold the medication and contact the health care provider. Sertraline is used with extreme caution in patients taking warfarin because of an increased risk for bleeding. The nurse needs to confirm the health care provider's prescription. When caring for a patient who is starting sertraline, which side effect specific to this medication would the nurse discuss? - ANSWER Sexual dysfunction Sexual dysfunction is a side effect of sertraline.