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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Allowing the client to describe the event in their own words is essential for initial assessment, evidence collection, and emotional support.
Choice B reason: A bed bath would destroy physical evidence needed for forensic examination.
Choice C reason: Discussing self-defense techniques at this time is inappropriate, as the focus should be on immediate safety, support, and care.
Choice D reason: Photographs may be taken, but the nurse should not present them as required for police reporting, as this can increase trauma and coercion.
Correct Answer is B
Explanation
Choice A reason: Giving 150 mg in one dose would mean the full daily dose is administered at once, not divided as ordered.
Choice B reason: The total daily dose is 150 mg. Dividing this into two equal doses means 150 ÷ 2 = 75 mg per dose.
Choice C reason: Fifty mg per dose would only total 100 mg per day, which is below the prescribed dose.
Choice D reason: One hundred mg per dose would total 200 mg daily, which exceeds the prescribed 150 mg/day.
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