Question

The physician has prescribed sertraline (Zoloft) \(50 \mathrm{mg}\) daily for a client with depression. Which finding should be reported to the physician? A. The client takes cimetidine (Tagamet) for acid reflux. B. The client takes the medication with meals. C. The client takes the medication once a day at bedtime. D. The client takes naproxen (Naprosyn) for arthritis.

Short answer

A. The client also takes cimetidine. B. The client takes the medication with meals. C. The client takes the medication once a day at bedtime. D. The client also takes naproxen. Answer: A and D Explanation: Both Option A and Option D involve drug interactions that may potentially lead to increased side effects and risks for the client. Cimetidine may increase sertraline levels and effects, while using sertraline and naproxen together may increase the risk of bleeding. These concerns should be reported to the physician. Options B and C are not concerns that need reporting, as sertraline can be taken with or without food and either in the morning or evening.

Step-by-step solution

Evaluate Option A: Cimetidine interaction

We need to research whether there's an interaction between sertraline and cimetidine that should be reported to the physician. According to medication resources, cimetidine may increase the levels and effects of sertraline, which can potentially lead to increased side effects. This is a potential issue that should be reported.

Evaluate Option B: Taking medication with meals

We need to consider whether taking sertraline with meals is an issue. According to the medication guidelines, sertraline can be taken with or without food. There is no problem with taking it with meals, so this is not a concern that needs reporting.

Evaluate Option C: Taking medication at bedtime

We need to determine if taking sertraline once a day at bedtime is an issue. According to the medication guidelines, sertraline can be taken once daily, either in the morning or evening. Taking it at bedtime is not a concern, so this doesn't need to be reported.

Evaluate Option D: Naproxen interaction

We need to research whether there's an interaction between sertraline and naproxen that should be reported to the physician. According to medication resources, using sertraline together with naproxen may increase the risk of bleeding. This is a potential issue that should be reported. #Conclusion#: We should report Option A and Option D to the physician, as they involve drug interactions that can potentially lead to increased side effects and risks for the client. Options B and C are not concerns that need reporting.