A nurse is caring for a client who is prescribed a benzodiazepine. Which of the following assessments should the nurse prioritize?

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.

D) Correct. Selective serotonin reuptake inhibitors (SSRIs) can cause sexual dysfunction as an adverse effect, including decreased libido, erectile dysfunction, or delayed ejaculation. It is important for the nurse to monitor the client for these potential adverse effects and provide appropriate support or interventions.

A) Incorrect. Hypertension is not a typical adverse effect of SSRIs. In fact, they are often used to manage anxiety disorders, which may contribute to reducing blood pressure.

B) Incorrect. Weight gain is a potential adverse effect of some antidepressant medications, but it is not specific to SSRIs.

C) Incorrect. Sedation is not a common adverse effect of SSRIs. In fact, SSRIs are generally considered to have a stimulating effect and may cause initial insomnia or agitation in some individuals.