The nurse has reviewed the Provider Orders from 2 weeks ago. The nurse is reinforcing teaching about the newly prescribed medication with the adolescent and their guardian. Which of the following information should the nurse include? Select all that apply.
Explanation & Rationale
A. "Sweating is a potential side effect of this medication.": Sertraline, a selective serotonin reuptake inhibitor (SSRI), can increase sympathetic nervous system activity, leading to side effects such as sweating (diaphoresis). Clients should be informed to monitor and report excessive sweating. B. "This medication affects serotonin levels.": Sertraline works by inhibiting the reuptake of serotonin in the brain, increasing its availability at synaptic clefts. This mechanism helps improve mood, anxiety, and obsessive-compulsive behaviors associated with anorexia nervosa. C. "This medication may cause mild nausea.": Gastrointestinal disturbances, including nausea, diarrhea, or upset stomach, are common early side effects of sertraline. These effects are usually mild and transient as the body adjusts to the medication. D. "Orange-colored urine is a potential side effect of this medication.": Orange urine is not associated with sertraline. This effect is more typical of medications such as rifampin or phenazopyridine. E. "Avoid consuming aged cheeses while taking this medication.": Dietary restrictions related to tyramine-containing foods, like aged cheeses, are necessary with monoamine oxidase inhibitors (MAOIs), not SSRIs like sertraline. F. "This medication should not be taken within 1 hour of a high-fat meal.": Sertraline absorption is not significantly affected by food intake, including high-fat meals. No timing restrictions with meals are generally required.