A nurse is providing teaching for a client who has depression and a new prescription for amitriptyline. Which of the following client statements indicates an understanding of the teaching?

"This medication might cause me to have a dry mouth."

"This medication might cause my blood pressure to increase."

"This medication might cause me to lose weight.

"This medication might cause me to urinate more often."

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Dry mouth is a common side effect of amitriptyline, which is a tricyclic antidepressant. Informing the client of potential side effects is important for their understanding and management of medication-related symptoms.

Choice B rationale:

Amitriptyline is not known to cause an increase in blood pressure. In fact, it can have a hypotensive effect.

Choice C rationale:

Weight loss is not a typical side effect of amitriptyline. It can often lead to weight gain.

Choice D rationale:

Amitriptyline can cause urinary retention rather than increased urination.

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Correct Answer is B

Explanation

Choice A rationale:

While wearing a supportive bra is generally advisable, wearing it 24 hours a day is not necessary and may cause discomfort.

Choice B rationale:

Performing a breast self-exam 1 week after menstruation is recommended for individuals with fibrocystic breast condition. Hormonal changes during the menstrual cycle can affect breast tissue, and examining the breasts when they are less likely to be affected by hormonal fluctuations can provide a more accurate baseline for self-examination.

Choice C rationale:

Mammograms are recommended more frequently than every 4 years, especially for those with fibrocystic breast condition or other risk factors.

Choice D rationale:

Increasing caffeine intake can exacerbate symptoms of fibrocystic breast condition. Caffeine is known to contribute to breast pain and tenderness.

A. A client who developed influenza after receiving the vaccine last year B. A client who has hypertension C. A client who has a history of Guillain-Barré syndrome D. A client who has an allergy to dairy products.

Correct Answer is C

Explanation

Choice A rationale:

Developing influenza after receiving the vaccine the previous year is not a contraindication for receiving the vaccine this year. In fact, the vaccine is recommended annually.

Choice B rationale:

Hypertension is not a contraindication for receiving the influenza vaccine.

Choice C rationale:

Clients with a history of Guillain-Barré syndrome should generally avoid receiving the influenza vaccine due to a potential increased risk of recurrence of the syndrome.

Choice D rationale:

Allergies to dairy products are not a contraindication for receiving the influenza vaccine.

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A nurse is providing teaching for a client who has depression and a new prescription for amitriptyline. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a young adult client who has fibrocystic breast condition. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer the influenza vaccine to a group of clients. For which of the following clients should the nurse withhold the vaccine?

Correct Answer is C

Explanation

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