A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the following adverse effects?

Drooling

Orthostatic hypotension

Diarrhea

Metallic taste in mouth

Answer and Explanation

The Correct Answer is B

Choice A reason: Drooling is not a common side effect of amitriptyline; instead, dry mouth due to anticholinergic effects is more likely.

Choice B reason: Orthostatic hypotension is a well-documented adverse effect of amitriptyline, related to its action on the autonomic nervous system. Nurses should closely monitor for dizziness, falls, or fainting.

Choice C reason: Diarrhea is not a typical adverse effect of amitriptyline; constipation is more commonly seen because of anticholinergic properties.

Choice D reason: Metallic taste in the mouth is not a notable adverse effect of amitriptyline and is more often associated with other medications such as certain antibiotics.

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Correct Answer is ["B","C","E"]

Explanation

Choice A reason:Sleeping for long periods is more characteristic of the depressive phase of bipolar disorder, not mania. Manic behavior typically involves reduced need for sleep, making this an incorrect choice.

Choice B reason:Spending large sums of money impulsively is a hallmark of manic behavior, reflecting poor judgment and heightened energy typical of the manic phase in bipolar disorder.

Choice C reason:Flirtatious interactions are common in mania, as clients may exhibit increased sociability, disinhibition, or hypersexuality, making this a correct indicator of manic behavior.

Choice D reason:Dressing in black or grey clothing is not specifically associated with mania. Manic clients may choose bright or eccentric clothing, but color preference alone is not a reliable indicator of manic behavior.

Choice E reason:Rapid, continuous speech, often pressured, is a classic sign of mania, reflecting the client’s heightened energy, racing thoughts, and difficulty slowing down their communication.

A. This medication will help prevent seizures. B. This medication will be administered by intramuscular injection every 2 weeks. C. I will rise slowly from a lying position to prevent fainting while taking this medication. D. I should expect to develop ringing in my ears while taking this medication.

Correct Answer is C

Explanation

Choice A reason:Clozapine is an antipsychotic used primarily for schizophrenia, not for preventing seizures. While it may lower the seizure threshold as a side effect, it is not prescribed for seizure control, making this statement incorrect.

Choice B reason:Clozapine is typically administered orally, not by intramuscular injection every 2 weeks. Long-acting injectable antipsychotics exist, but clozapine is not one of them, so this statement does not reflect correct understanding.

Choice C reason:Clozapine can cause orthostatic hypotension, leading to dizziness or fainting upon standing. Rising slowly from a lying position helps prevent this, indicating the client understands an important precaution for safe use of the medication.

Choice D reason:Ringing in the ears (tinnitus) is not a common side effect of clozapine. More common side effects include sedation, weight gain, and agranulocytosis, so this statement does not show correct understanding.

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A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is providing teaching for a client who has a new prescription for clozapine. Which of the following statements indicates the client understands the teaching?

Correct Answer is C

Explanation

A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter, stating that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. The nurse should anticipate planning care for managing which of the following phobias?

A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse?

A nurse is reinforcing teaching about alcohol tolerance with a newly admitted client. Which of the following statements by the client indicates understanding?

A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating, "The flakalas are here. The flakalas are here." The nurse correctly recognizes the client's use of the word flakala as an example of which of the following alterations in speech?

A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client’s discharge plan?

A patient with depression is prescribed sertraline 50 mg once daily. If the medication is administered for 14 days, what is the total dosage in milligrams?

A nurse is providing discharge teaching to a client with a new prescription for phenelzine (MAOI). The nurse should instruct the client to avoid which of the following foods when taking this medication?

A nurse enters the room of a client who becomes verbally abusive. Which of the following actions should the nurse take?