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
None
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hyperactive bowel sounds: Muscarinic agonist poisoning typically results in increased gastrointestinal motility and hyperactive bowel sounds. Atropine, an anticholinergic medication, works by blocking muscarinic receptors and reducing gastrointestinal motility. Therefore, the presence of hyperactive bowel sounds may indicate ongoing muscarinic stimulation and inadequate treatment with atropine.
B. Heart rate 90/min: Atropine is an anticholinergic medication that increases heart rate by blocking the parasympathetic effects of acetylcholine on the heart. Bradycardia is a common manifestation of muscarinic agonist poisoning, and an increase in heart rate following atropine administration indicates reversal of this effect and effective treatment.
C. Blood pressure 90/50 mm Hg: Atropine administration may result in transient hypertension due to its effect on increasing heart rate and cardiac output. Hypotension is a common
manifestation of muscarinic agonist poisoning, and an increase in blood pressure following atropine administration may indicate improvement in cardiovascular function. Therefore, a blood pressure of 90/50 mm Hg may not necessarily indicate effective treatment with atropine.
D. Increased salivation: Muscarinic agonist poisoning typically results in excessive salivation (sialorrhea) due to stimulation of muscarinic receptors in the salivary glands. Atropine administration works by blocking these muscarinic receptors and reducing salivation. Therefore, increased salivation would indicate ongoing muscarinic stimulation and inadequate treatment with atropine.
Correct Answer is D
Explanation
A. Ringing in the ears (tinnitus) is not a common adverse effect of midazolam.
B. Urinary retention is not a common adverse effect of midazolam.
C. Midazolam typically causes decreased blood pressure, not increased blood pressure.
D. Respiratory depression is a potential adverse effect of midazolam, particularly when administered in higher doses or in combination with other central nervous system depressants.
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