A client is prescribed a tricyclic antidepressant. The nurse should monitor the client for which of the following potential adverse effects?
Hypotension
Weight loss
Insomnia
Urinary retention
The Correct Answer is D
D) Correct. Tricyclic antidepressants can cause anticholinergic effects, including urinary retention. The nurse should monitor the client for any signs or symptoms of urinary retention and assess the client's ability to void.
A) Incorrect. Hypotension is a potential adverse effect of some antidepressant medications, but it is not specific to tricyclic antidepressants. In fact, tricyclic antidepressants can cause orthostatic hypotension, which is a drop in blood pressure upon standing.
B) Incorrect. Weight gain is a more common adverse effect of tricyclic antidepressants. Weight loss is not typically associated with these medications.
C) Incorrect. Insomnia is a potential adverse effect of tricyclic antidepressants, but it is not the most significant adverse effect associated with this class of medication. Sedation and drowsiness are more common adverse effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Central nervous system stimulants can increase heart rate and blood pressure. Monitoring the client's heart rate is essential to identify any cardiovascular side effects, such as tachycardia or arrhythmias.
B) Incorrect. While liver function tests may be relevant for some medications, it is not the priority assessment specifically related to central nervous system stimulants.
C) Incorrect. Urine output monitoring is important but is not the priority assessment specifically related to central nervous system stimulants.
D) Incorrect. Blood glucose levels are not directly affected by central nervous system stimulants and do not require prioritization in this scenario.
Correct Answer is A
Explanation
A) Correct. Acetylcholinesterase inhibitors, such as donepezil or rivastigmine, are commonly prescribed to improve memory and cognitive function in clients with Alzheimer's disease. Educating the client about the therapeutic effects of the medication is important for promoting understanding and adherence.
B) Incorrect. Acetylcholinesterase inhibitors can be taken with or without food, and taking them with food may help reduce gastrointestinal side effects.
C) Incorrect. Acetylcholinesterase inhibitors do not provide immediate relief of symptoms. They need to be taken consistently over time to achieve the desired therapeutic effects.
D) Incorrect. Acetylcholinesterase inhibitors do not increase dopamine production. They work by inhibiting the breakdown of acetylcholine, a neurotransmitter involved in memory and cognitive function.
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