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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
This is not a priority intervention for a client who is in the manic phase of bipolar disorder. The nurse should monitor the client's vital signs as indicated, but blood pressure is not likely to be affected by mania unless the client has a preexisting condition or is taking medications that affect blood pressure.
Choice B rationale:
This is not an appropriate intervention for a client who is in the manic phase of bipolar disorder. The nurse should not restrict the client's physical activity, as this can increase their frustration and agitation. The nurse should provide a safe environment for the client to expend their energy and channel it into productive activities.
Choice C rationale:
This is not a suitable intervention for a client who is in the manic phase of bipolar disorder. The nurse should avoid stimulating the client's already elevated mood and arousal, as this can worsen their symptoms and increase their risk of injury or aggression. The nurse should limit the client's exposure to noise, crowds, and bright lights, and provide them with opportunities for rest and quiet time.
Choice D rationale:
A client who is in the manic phase of bipolar disorder has increased energy, activity, and metabolism, which can lead to weight loss and nutritional deficiencies. The nurse should provide the client with high-calorie finger foods that are easy to eat and do not require utensils or sitting down. This way, the nurse can help the client meet their nutritional needs while respecting their need for movement and autonomy.
Correct Answer is B
Explanation
Choice A rationale:
Diarrhea is not commonly associated with pramipexole use.
Choice B rationale:
Drowsiness is a common adverse effect of pramipexole and can impair the client's ability to perform tasks that require alertness.
Choice C rationale:
Tachypnea (rapid breathing) is not typically associated with pramipexole use.
Choice D rationale:
Bradycardia (slow heart rate) is not a common adverse effect of pramipexole.
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