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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Ignoring pain temporarily is an example of suppression, which is considered an adaptive coping strategy.
Choice B reason: Slamming a drawer represents displacement of frustration, which, while immature, can still be considered a common short-term coping outlet.
Choice C reason: Buying a gift after flirting is an example of undoing, which attempts to counteract negative feelings, and can sometimes be adaptive.
Choice D reason: Forgetting to schedule important appointments due to fear is repression/avoidance, which prevents the person from addressing health needs and is maladaptive.
Correct Answer is B
Explanation
Choice A reason:Alcohol tolerance is not a medical emergency and is not caused by withdrawal. It refers to needing more alcohol to achieve the same effect, making this statement incorrect.
Choice B reason:Alcohol tolerance involves a decreased physical response to the same amount of alcohol over time, requiring higher doses for the same effect. This statement accurately reflects understanding of tolerance.
Choice C reason:Alcohol tolerance does not produce physical changes when alcohol is not consumed. It describes the body’s reduced response to alcohol, not withdrawal symptoms or other changes.
Choice D reason:Alcohol tolerance does not directly increase the effects of opiates. While cross-tolerance can occur, this statement inaccurately suggests a direct causal relationship, making it incorrect.
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