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 C
Explanation
Choice A reason:A 3 mg additional dose would exceed the prescribed limit. The prescription allows for 1 mg every 8 hours as needed, up to a maximum of 3 mg in a 24-hour period (one dose every 8 hours). Since the patient has already received 2 mg (two 1 mg doses), an additional 3 mg would result in a total of 5 mg, which is unsafe and exceeds the prescribed daily limit.
Choice B reason:A 2 mg additional dose would also exceed the prescribed limit. With 2 mg already taken, an additional 2 mg would total 4 mg in a day, surpassing the maximum of 3 mg allowed by the prescription (1 mg every 8 hours, up to three doses).
Choice C reason:The patient has already received 2 mg (two 1 mg doses) today. The prescription allows for 1 mg every 8 hours as needed, which permits a maximum of 3 mg in 24 hours. With two doses already administered, only one additional 1 mg dose is safe, but none of the options list 1 mg. Therefore, 0 mg is the correct answer, as no additional dose beyond the remaining 1 mg is permissible among the given choices.
Correct Answer is ["A","D"]
Explanation
Choice A reason:A history of bulimia nervosa increases the risk of self-harm, as eating disorders are often associated with emotional dysregulation, low self-esteem, and impulsive behaviors, which can manifest as self-injurious actions.
Choice B reason:Receiving a promotion at work is generally a positive event and not typically associated with an increased risk of self-harm. It may boost self-esteem and is not a risk factor for self-injury.
Choice C reason:A parent with dependent personality disorder may influence family dynamics, but it is not a direct risk factor for the client’s self-harm behaviors. The client’s own mental health conditions are more relevant.
Choice D reason:Borderline personality disorder is strongly associated with self-harm behaviors, as it involves emotional instability, impulsivity, and difficulty managing intense emotions, often leading to self-injury as a coping mechanism.
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