What are some common side effects of tricyclic antidepressants (TCAs)?

Diarrhea

Weight gain/loss

Bradycardia

Sexual dysfunction

Answer and Explanation

Correct Answer : B,D

A. Diarrhea: TCAs cause anticholinergic effects, which more commonly lead to constipation rather than diarrhea.

B. Weight gain/loss: Weight gain is a common side effect of TCAs, though some clients may experience weight loss.

C. Bradycardia: TCAs are more likely to cause tachycardia, arrhythmias, and orthostatic hypotension, not bradycardia.

D. Sexual dysfunction: TCAs can cause sexual dysfunction, including decreased libido, erectile dysfunction, and anorgasmia.

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Correct Answer is B

Explanation

A. Nonrebreather mask. A nonrebreather mask delivers high concentrations of oxygen but requires a tight seal around the face, which is not suitable for patients with facial trauma.

B. Face tent. A face tent is the best option for a patient with facial trauma as it provides high-flow oxygen without requiring direct contact with the face, preventing pressure on injured areas.

C. Nasal cannula. A nasal cannula provides low-flow oxygen and may be ineffective for a patient requiring high-flow therapy.

D. Venturi mask. A Venturi mask delivers precise oxygen concentrations but still requires a snug fit on the face, which may not be comfortable or feasible for a patient with facial trauma.

A. Bipolar disorder B. Premenstrual dysphoric disorder C. Psychotic depression D. Postpartum depression

Correct Answer is D

Explanation

A. Bipolar disorder: Bipolar disorder involves episodes of mania and depression but does not typically present with postpartum psychotic symptoms such as hallucinations.

B. Premenstrual dysphoric disorder: This is a severe form of premenstrual syndrome (PMS) that affects mood, but it is not associated with postpartum psychosis or auditory hallucinations.

C. Psychotic depression: Psychotic depression can include hallucinations, but in a postpartum context, postpartum psychosis is the more likely diagnosis.

D. Postpartum depression: Severe postpartum depression can lead to postpartum psychosis, which includes symptoms like hallucinations and delusions. This is a medical emergency requiring immediate intervention.

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What are some common side effects of tricyclic antidepressants (TCAs)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care to a patient who is recovering from facial trauma who requires high-flow oxygen therapy. Which method of oxygen delivery does the nurse recognize as best for this patient?

Correct Answer is B

Explanation

A nurse in the clinic is assessing a postpartum client. The client states that they sleep all the time and are hearing voices telling them to harm their child. The nurse should identify that the client is likely experiencing which of the following?

Correct Answer is D

Explanation

Which is the priority action by the nurse when a patient discloses a medication allergy during the health history before a surgical procedure?

Which of the following is an example of a nursing diagnosis?

Which of the following nursing interventions takes priority with a newly admitted client having suicidal ideations

In teaching the patient about postoperative pain management, which statement by the nurse is best?

A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?

A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?

Which nursing action is completed during phase III of post anesthesia care?

What is a common side effect of antipsychotics?