A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?

"This medication can cause an increase in appetite."

"You might experience hair loss while taking this medication."

"This medication can cause diarrhea."

"Urinary frequency is a common adverse effect of this medication."

None

Answer and Explanation

The Correct Answer is A

A. "This medication can cause an increase in appetite." is correct. Amitriptyline is a tricyclic antidepressant (TCA) that commonly causes increased appetite and weight gain as side effects. Clients should be informed of this possibility and encouraged to monitor their diet and weight while taking the medication.

B. "You might experience hair loss while taking this medication." is incorrect. Hair loss is not a common adverse effect of amitriptyline. This side effect is more commonly associated with other medications, such as chemotherapy agents or certain anticonvulsants.

C. "This medication can cause diarrhea." is incorrect. Amitriptyline typically causes constipation rather than diarrhea due to its anticholinergic effects, which slow gastrointestinal motility. Clients should be advised to increase fiber and fluid intake to help manage constipation.

D. While trouble urinating can occur due to anticholinergic effects, urinary frequency is not a commonly reported adverse effect of amitriptyline.

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Correct Answer is C

Explanation

A. Constipation: Constipation is not a commonly reported adverse effect of clopidogrel.

Therefore, it is not necessary to instruct the client to monitor and report constipation as an adverse effect.
B. Weight loss: Weight loss is not a commonly reported adverse effect of clopidogrel. Therefore, it is not necessary to instruct the client to monitor and report weight loss as an adverse effect.
C. Bruising: Clopidogrel is an antiplatelet medication that inhibits platelet aggregation.

Therefore, one of the potential adverse effects is an increased risk of bleeding, which can

manifest as easy bruising or prolonged bleeding from minor injuries. Instructing the client to monitor and report bruising is important for early detection of bleeding complications.
D. Blurred vision: Blurred vision is not a commonly reported adverse effect of clopidogrel.

Therefore, it is not necessary to instruct the client to monitor and report blurred vision as an adverse effect.

A. Intranasal B. Oral C. Subcutaneous D. Transdermal

Correct Answer is C

Explanation

A. Epoetin alfa is not administered intranasally.

B. Epoetin alfa is not administered orally because it would be destroyed by digestive enzymes and have poor absorption.
C. Epoetin alfa is typically administered subcutaneously, as it is a recombinant human erythropoietin that stimulates red blood cell production.
D. Epoetin alfa is not administered trans dermally.

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A nurse is teaching a client who has a depressive disorder about amitriptyline. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is to start taking clopidogrel. The nurse should instruct the client to monitor and report which of the following adverse effects of the medication?

Correct Answer is C

Explanation

A nurse is caring for a client who has a prescription for epoetin alfa. Which of the following routes should the nurse plan to use for administration?

Correct Answer is C

Explanation

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