Final answer:
The priority nursing action for a child on SSRIs is close monitoring for adverse effects and signs of worsening depression, specifically suic idal thoughts, following FDA warnings for increased risk in those under age 25.
Step-by-step explanation:
The priority nursing action for an 11-year-old client who has been hospitalized with severe depression and prescribed a Selective Serotonin Reuptake Inhibitor (SSRI) is to monitor for adverse effects and signs of increasing depression, particularly suici dality. SSRIs, including medications such as Prozac, Paxil, and Zoloft, work by blocking the reuptake of serotonin in the brain, which can improve mood and reduce depressive symptoms. Because the FDA has issued a black box warning for the use of antidepressants in individuals under the age of 25 due to the increased risk of suic idal thoughts and behaviors, close monitoring is essential. Nurses must observe the client's response to the medication, report any concerns to the prescribing physician, and provide a safe environment for the client. Additionally, educating the client and their caregivers regarding the importance of adherence to the medication and the necessity of consistent follow-up appointments is crucial.