How it Works
Try Naxlex NCLEX-RN (Free-Trial)

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.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

A. “This medication can cause back pain.": Back pain is not a common or expected adverse effect of warfarin. If the client experiences unusual pain, especially accompanied by bruising or bleeding, it may warrant further evaluation but is not directly related to the medication itself.
B. "Avoid taking this medication with milk products.”: Warfarin does not interact with milk or dairy products in the way some antibiotics do. The more important dietary concern is maintaining consistent intake of vitamin K, found in green leafy vegetables.
C. “Take the last dose of the day 1 hour before bedtime.": Warfarin is typically taken once daily at the same time, but timing relative to bedtime is not critical. The key point is consistency and routine INR monitoring, not the hour of the day.
D. "Use an electric razor when shaving while taking this medication.": Warfarin increases bleeding risk, so using an electric razor helps minimize the chance of cuts and bleeding during shaving. This is a standard safety recommendation for clients on anticoagulants.

Correct Answer is D

Explanation

A. Place the client in a side-lying position for the procedure: Paracentesis is typically performed with the client in an upright or high-Fowler’s position to allow fluid to pool in the lower abdomen for easier access and drainage.
B. Administer a low-volume hypertonic enema the night before the procedure: Enemas are not routinely indicated for paracentesis since the bowel does not obstruct access to ascitic fluid, making this an unnecessary step.
C. Ensure the client has a full bladder just prior to the procedure: A full bladder increases the risk of accidental puncture during needle insertion. The bladder should be emptied to reduce this risk.
D. Weigh the client before and after the procedure: Weighing the client allows the healthcare team to estimate the volume of ascitic fluid removed and assess fluid balance, making this a key nursing responsibility.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register