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A nurse is caring for a client in a clinic.

Exhibits

For each body system below, click to specify the adverse effect that the nurse should include in the teaching. Choose the most likely response for the dropdown(s) in the table below by choosing from the lists of options.

Body System

Common Adverse Effects

Head, eyes, ears, nose, and throat (HEENT)

Cardiovascular

Genitourinary

Gastrointestinal

Note: Each drop down must have 1 response selected.
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B","dropdown-group-3":"A","dropdown-group-4":"C"}

  • HEENT – Dry mouth; Amitriptyline has strong anticholinergic effects, which inhibit salivary gland secretion, commonly resulting in dry mouth. This side effect can affect oral comfort, dental health, and appetite.
  • Cardiovascular – Tachycardia: Tricyclic antidepressants like amitriptyline can cause tachycardia due to their anticholinergic properties and direct effects on cardiac conduction. These drugs inhibit vagal tone, which increases heart rate, and can also affect the sodium channels in cardiac tissue.
  • Genitourinary – Urinary retention: Amitriptyline’s anticholinergic activity relaxes the detrusor muscle and contracts the internal urethral sphincter, impairing normal bladder emptying. This can lead to difficulty initiating urination and incomplete bladder emptying, particularly in older adults.
  • Gastrointestinal – Constipation: By inhibiting parasympathetic activity in the GI tract, amitriptyline slows peristalsis, leading to constipation. This side effect is common and can become severe without dietary adjustments or the use of stool softeners.


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Related Questions

Correct Answer is A,C,E,B,D

Explanation

A. Assess the appearance of the wound first to determine its condition and document characteristics such as drainage, size, and tissue type before collecting the specimen.

B. Place the swab in the culture tube immediately after obtaining the specimen to prevent contamination and preserve the sample.
C. Cleanse the wound with 0.9% sodium chloride to remove surface contaminants, which helps ensure the culture reflects true pathogens within the wound bed.
D. Cover the wound with a sterile dressing to protect the area from external contamination and promote healing after the specimen has been collected.

E. Obtain the specimen from granulation tissue of the wound, avoiding pooled drainage or necrotic areas, to ensure the most accurate culture results.

Correct Answer is B

Explanation

A. Ibuprofen: This NSAID can irritate the gastric lining and increase the risk of bleeding, making it inappropriate for clients with a history of peptic ulcers.
B. Acetaminophen: It is not an NSAID and does not affect the gastrointestinal lining, making it a safer option for pain relief in clients with peptic ulcer disease.
C. Ketorolac: Like other NSAIDs, ketorolac increases the risk of gastric bleeding and should be avoided in clients with peptic ulcers.
D. Aspirin: Aspirin is an NSAID and antiplatelet agent that can worsen peptic ulcers and increase bleeding risk, so it should not be used in this client.

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