Nokea
A nurse caring for a client taking amitriptyline for depression should monitor the client for which of the following adverse events?
- A. Sedation
- B. Diarrhea
- C. Incontinence
- D. Dry mouth
- E. Photosensitivity
Correct Answer: A,D,E
Rationale: Tricyclic antidepressants like amitriptyline commonly cause sedation, dry mouth, and photosensitivity as side effects due to their anticholinergic and antihistaminic properties.
You may also like to solve these questions
A client is prescribed lithium. The nurse suspects lithium toxicity based on which lithium drug level?
- A. 0.8mEq /L
- B. 1.0mEq /L
- C. 1.3mEq /L
- D. 1.6mEq /L
Correct Answer: D
Rationale: Lithium toxicity typically occurs at serum levels above 1.5 mEq/L, making 1.6 mEq/L indicative of toxicity.
Antidepressants can often have GI adverse reactions that can result in a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. Which of the following would be appropriate for the nurse to suggest to minimize these effects?
- A. Increase fiber intake
- B. Decrease fiber intake
- C. Increase fluid intake
- D. Decrease fluid intake
- E. Chew sugarless gum
Correct Answer: A,C,E
Rationale: Increasing fiber and fluid intake helps manage constipation, while sugarless gum alleviates dry mouth, both common antidepressant side effects.
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.
After teaching a group of nursing students about possible adverse reactions associated with trazodone, the instructor determines that the teaching was successful when the students identify which of the following?
- A. Sexual dysfunction
- B. Insomnia
- C. Priapism
- D. Diarrhea
- E. Dry mouth
Correct Answer: C,E
Rationale: Trazodone is associated with priapism and dry mouth as notable adverse reactions due to its pharmacological profile.
A client taking phenelzine (Nardil) is at a dinner party and has several glasses of red wine. The client begins to feel nauseated and develops a terrible headache. The client is taken to the nearest emergency department (ED). This client might be experiencing a hypertensive crisis. What other symptoms might the nurse in the ED assess if the client is experiencing a hypertensive crisis?
- A. Constricted pupils
- B. Chills
- C. Chest pain
- D. Tachycardia
- E. Stiff neck
Correct Answer: C,D,E
Rationale: Hypertensive crisis from MAOI-tyramine interactions may present with chest pain, tachycardia, and stiff neck, among other symptoms.