A nurse is caring for a client who is taking a tricyclic antidepressant. For which of the following findings should the nurse monitor as an adverse effect of tricyclic antidepressants?
Orthostatic hypotension
Diarrhea
Hyperactivity
increased urinary output
The Correct Answer is A
A. Orthostatic hypotension: Orthostatic hypotension, a sudden drop in blood pressure upon standing up, is a common adverse effect of tricyclic antidepressants. TCAs can block the alpha-1 adrenergic receptors, leading to decreased vascular tone and subsequent orthostatic hypotension.
B. Diarrhea: Diarrhea is not typically associated with tricyclic antidepressants. In fact, constipation is a more common gastrointestinal adverse effect of TCAs due to their anticholinergic properties, which can slow down bowel motility.
C. Hyperactivity: Hyperactivity is not a common adverse effect of tricyclic antidepressants. Instead, TCAs may cause sedation or drowsiness due to their antihistamine properties.
D. Increased urinary output: Tricyclic antidepressants can cause urinary retention rather than increased urinary output. Anticholinergic effects of TCAs can lead to urinary hesitancy, difficulty initiating urination, or retention, particularly in individuals with benign prostatic hyperplasia.
A. Orthostatic hypotension: Orthostatic hypotension, a sudden drop in blood pressure upon standing up, is a common adverse effect of tricyclic antidepressants. TCAs can block the alpha-1 adrenergic receptors, leading to decreased vascular tone and subsequent orthostatic hypotension.
B. Diarrhea: Diarrhea is not typically associated with tricyclic antidepressants. In fact, constipation is a more common gastrointestinal adverse effect of TCAs due to their anticholinergic properties, which can slow down bowel motility.
C. Hyperactivity: Hyperactivity is not a common adverse effect of tricyclic antidepressants. Instead, TCAs may cause sedation or drowsiness due to their antihistamine properties.
D. Increased urinary output: Tricyclic antidepressants can cause urinary retention rather than increased urinary output. Anticholinergic effects of TCAs can lead to urinary hesitancy, difficulty initiating urination, or retention, particularly in individuals with benign prostatic hyperplasia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A client who has borderline personality disorder and exhibits splitting behaviors
While splitting behaviors can be concerning and may require intervention, they do not typically pose an immediate threat to the client's safety or well-being compared to other urgent issues such as hallucinations or medication side effects.
B. A client who has schizophrenia and reports command hallucinations
Command hallucinations can be dangerous as they may prompt the client to engage in harmful behaviors or actions directed by the hallucinations. Therefore, this client should be assessed first to ensure their safety and intervene if necessary.
C. A client who recently started taking lithium and has a fine hand tremor
A fine hand tremor is a common side effect of lithium therapy and typically does not require immediate attention unless it becomes severe or interferes significantly with the client's functioning. Therefore, this client's assessment can be prioritized lower than the client experiencing command hallucinations.
D. A client who takes nicotine and states they have a dry mouth
While a dry mouth can be uncomfortable, it is not typically a critical issue requiring immediate assessment compared to the safety concerns associated with command hallucinations in a client with schizophrenia.
Correct Answer is ["B","C","D","E"]
Explanation
A. The client's advance directives status: Advance directives indicate the client's preferences for medical treatment in the event they are unable to communicate their wishes. While important for end-of-life planning, they may not directly impact the client's ability to transition to widowhood.
B. The client's willingness to attend a support group: Attending a support group can provide emotional support and coping strategies during the grieving process. Willingness to engage in such activities may positively influence the transition to widowhood.
C. The client's current health status: Health status can influence one's ability to cope with stressors, including grief. Poor health may complicate the grieving process, while better health may provide resilience.
D. The client’s family support system: Family support can play a significant role in coping with loss. Having a supportive network can provide emotional comfort and practical assistance during the transition to widowhood.
E. The client’s involvement in a spiritual community: Spiritual beliefs and involvement in a religious or spiritual community can provide comfort and meaning during times of loss. Spiritual support may contribute positively to the client's ability to navigate the grieving process.
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