Nokea
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.
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After teaching a group of nursing students about the action of antidepressants, the instructor determines that the teaching was successful when the students identify which of the following classes as exerting their effects by inhibiting reuptake of norepinephrine and serotonin?
- A. Amitriptyline
- B. Bupropion
- C. Clomipramine
- D. Duloxetine
- E. Venlafaxine
Correct Answer: A,C
Rationale: Tricyclic antidepressants like amitriptyline and clomipramine inhibit the reuptake of norepinephrine and serotonin, increasing their availability in the synaptic cleft.
After teaching a client who is prescribed lithium about the drug, the nurse determines that the teaching was successful when the client states which of limited how much I drink
- A. I need to limit how much I drink
- B. Salt is something that I need to avoid
- C. I should take the drug with food
- D. I need to call the doctor if I have a painful erection
Correct Answer: C
Rationale: Taking lithium with food reduces gastrointestinal irritation, and the client's statement reflects understanding of this instruction.
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.
A nurse understands that the antidepressant drug paroxetine (Paxil) can be used to treat which of the following medical conditions?
- A. Enuresis
- B. Depressive episodes
- C. Anorexia
- D. Obsessive-compulsive disorders
- E. Bulimia nervosa
Correct Answer: B,D,E
Rationale: Paroxetine, an SSRI, is indicated for depressive episodes, obsessive-compulsive disorder, and bulimia nervosa due to its serotonin-modulating effects.
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.