A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the following adverse effects?
Drooling
Orthostatic hypotension
Diarrhea
Metallic taste in mouth
The Correct Answer is B
Choice A reason: Drooling is not a common side effect of amitriptyline; instead, dry mouth due to anticholinergic effects is more likely.
Choice B reason: Orthostatic hypotension is a well-documented adverse effect of amitriptyline, related to its action on the autonomic nervous system. Nurses should closely monitor for dizziness, falls, or fainting.
Choice C reason: Diarrhea is not a typical adverse effect of amitriptyline; constipation is more commonly seen because of anticholinergic properties.
Choice D reason: Metallic taste in the mouth is not a notable adverse effect of amitriptyline and is more often associated with other medications such as certain antibiotics.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:Asking the client why he thinks the pain isn’t from hiking may come across as dismissive and could heighten his anxiety. It does not address his concerns constructively or facilitate a medical evaluation to determine the cause of the pain.
Choice B reason:Reassuring the client that bone cancer is unlikely without a medical evaluation is inappropriate, as it may minimize his concerns and delay necessary assessment. The nurse should avoid making diagnostic assumptions without provider input.
Choice C reason:Suggesting genetic testing is premature without a medical evaluation to determine if the pain warrants such testing. The client’s pain is likely related to hiking, and a provider’s assessment should guide any further diagnostic steps.
Choice D reason:Explaining that a provider will evaluate the client and determine the next steps is the most appropriate action. This response validates the client’s concerns, ensures a professional assessment of the knee pain, and provides a clear path forward without making assumptions about the cause.
Correct Answer is B
Explanation
Choice A reason:Recalling past coping mechanisms can be helpful, but it is not the priority in acute anxiety. The client may be too overwhelmed to focus on strategies without first establishing a sense of safety.
Choice B reason:Remaining with the client is the priority, as it provides a calming presence, ensures safety, and helps reduce the client’s anxiety by offering immediate support and reassurance during an acute episode.
Choice C reason:Encouraging verbalization of feelings is therapeutic but not the priority in acute anxiety. The client may need time to calm down before they can effectively express their emotions.
Choice D reason:Providing a diverting activity may help manage mild anxiety but is not the priority in an acute, moderate episode. Staying with the client to ensure safety and reduce distress takes precedence.
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