The nurse determines that a client has been taking antidepressants for the past six months. Which symptoms are common side effects of this medication classification?

Dry mouth, blurred vision, and constipation.

Headache, jaundice, and diarrhea.

Bradycardia, delirium, and sedation.

Insomnia, hypertension, and vomiting.

Answer and Explanation

The Correct Answer is A

A. Dry mouth, blurred vision, and constipation: These symptoms are classic anticholinergic side effects associated with many antidepressants, especially tricyclic antidepressants (TCAs). They result from the blockade of muscarinic receptors and are frequently reported by clients receiving these medications.

B. Headache, jaundice, and diarrhea: While headaches can occur with antidepressant use, jaundice is rare and would suggest serious liver toxicity rather than a common side effect. Diarrhea may happen with selective serotonin reuptake inhibitors (SSRIs) but is less typical overall than anticholinergic symptoms.

C. Bradycardia, delirium, and sedation: Some antidepressants can cause sedation, but bradycardia and delirium are not common side effects across the entire antidepressant class. These would be more likely associated with toxicity or drug interactions rather than typical daily use.

D. Insomnia, hypertension, and vomiting: Insomnia can occur with certain antidepressants like SSRIs or SNRIs, but hypertension and vomiting are less consistently seen across all antidepressant classes. These symptoms are not considered the hallmark side effects of antidepressant therapy.

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Correct Answer is D

Explanation

A. Promotes stomach emptying and prevents gastric reflux: Sevelamer does not influence gastric motility or act on the lower esophageal sphincter. It is not used to treat reflux or alter the rate of stomach emptying, so this explanation would be inaccurate.

B. Buffers hydrochloric acid and prevents gastric erosion: Sevelamer is not an antacid and does not buffer stomach acid or directly protect the stomach lining. Its action is specifically targeted toward phosphate binding, not gastric pH balance.

C. Prevents indigestion associated with ingestion of spicy foods: Sevelamer is not intended to manage symptoms of indigestion or dyspepsia from spicy foods. It plays no role in modifying digestive comfort related to specific dietary triggers.

D. Binds with phosphorus in foods and prevents absorption: Sevelamer is a phosphate binder prescribed for clients with CKD to prevent hyperphosphatemia. It must be taken with meals to bind dietary phosphorus in the gut, thereby preventing its absorption into the bloodstream and helping maintain normal phosphate levels.

Correct Answer is ["200"]

Explanation

Identify the total volume to be infused.

Total volume = 100 mL

Identify the infusion time in minutes.

Infusion time = 30 minutes

Convert the infusion time to hours.

Infusion time (hours) = Infusion time (minutes) / 60 minutes/hour

= 30 minutes / 60 minutes/hour

= 0.5 hours

Calculate the infusion rate in mL per hour.

Infusion rate (mL/hour) = Total volume (mL) / Infusion time (hours)

= 100 mL / 0.5 hours

= 200 mL/hour

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The nurse determines that a client has been taking antidepressants for the past six months. Which symptoms are common side effects of this medication classification?

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Naxlex Comprehensive Predictor Exams

The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?

Correct Answer is D

Explanation

The nurse mixes diphenhydramine 25 mg in a 100 mL bag of 0.9% sodium chloride, which is to be administered IV over 30 minutes. The IV pump should be set to administer how many mL/hour? (Enter numeric value only.)

Correct Answer is ["200"]

Explanation

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