Nokea
A nurse administers amitriptyline cautiously to which clients?
- A. Clients with cardiac disease
- B. Clients with hypothyroidism
- C. Clients with diabetes
- D. Elderly clients
- E. Adolescent clients
Correct Answer: A,D
Rationale: Amitriptyline's anticholinergic and cardiac effects necessitate caution in clients with cardiac disease and elderly clients, who are more sensitive to these effects.
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A client is prescribed paroxetine. When teaching the client about this drug, which of the following would the nurse include as a possible adverse reaction?
- A. Sexual dysfunction
- B. Insomnia
- C. Somnolence
- D. Diarrhea
- E. Constipation
Correct Answer: A,B,C,D,E
Rationale: Paroxetine, an SSRI, may cause a wide range of side effects including sexual dysfunction, insomnia, somnolence, diarrhea, and constipation.
A nurse understands that duloxetine may be used to treat which of the following?
- A. Obsessive-compulsive disorder
- B. Depression
- C. Fibromyalgia
- D. Diabetic neuropathy
- E. Stress incontinence
Correct Answer: B,C,D,E
Rationale: Duloxetine, an SNRI, is indicated for depression, fibromyalgia, diabetic neuropathy, and stress incontinence due to its effects on serotonin and norepinephrine.
Before administering an antidepressant to a client, which of the following would the nurse assess?
- A. Vital signs
- B. Presence of suicidal ideation
- C. Complete medical history
- D. Weight
- E. Mental status
Correct Answer: A,B,C,D,E
Rationale: A comprehensive assessment including vital signs, suicidal ideation, medical history, weight, and mental status is critical to ensure safe antidepressant administration.
A nurse is caring for an older adult client who has been prescribed amoxapine for depression accompanied by anxiety. After administration of the drug, the nurse observes muscle rigidity and sweating. The nurse identifies these as the symptoms of neuroleptic malignant syndrome. Which of the following would the nurse do next?
- A. Suggest the client engage in exercise
- B. Get the client to drink a glass of cold water
- C. Encourage the client to breathe deeply
- D. Stop the drug and contact the physician
Correct Answer: D
Rationale: Neuroleptic malignant syndrome is a medical emergency; stopping the drug and contacting the physician is the appropriate action.
A nurse is caring for a client with depression. The client has been prescribed amitriptyline. Which of the following would the nurse integrate into the teaching for the client about how the drug works?
- A. Decreased reuptake of norepinephrine
- B. Increased serotonin in the nervous system
- C. Increased endogenous norepinephrine
- D. Increased endogenous epinephrine
Correct Answer: A
Rationale: Amitriptyline, a tricyclic antidepressant, works by decreasing the reuptake of norepinephrine, increasing its availability in the synapse.