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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Apply the new patch today and use a backup method for 7 days: If a transdermal contraceptive patch is forgotten for more than 48 hours, a new patch should be applied immediately, and a backup method such as condoms should be used for the next 7 days to ensure protection against pregnancy due to the interruption in hormone delivery.

B. Wait until Sunday to apply the new patch and use the same site: Waiting until Sunday would leave the client unprotected for several more days, increasing the risk of pregnancy. Immediate action is needed rather than delaying application based on the day of the week.

C. If a pregnancy test is negative, apply the next patch immediately: While pregnancy testing may be warranted if a patch has been missed for a long period, the priority is to re-establish hormonal contraception immediately. Delaying application for testing first is not appropriate in this acute situation.

D. Wait until the last day of your next menstrual period to apply the patch: Delaying application until after the next menstrual period would leave the client unprotected and vulnerable to unintended pregnancy for an extended time, making this instruction inappropriate.

A. Avoid the use of alcohol. B. Drink a liter of water daily. C. Keep medication refrigerated. D. Take one hour after eating.

Correct Answer is A

Explanation

A. Avoid the use of alcohol: Metronidazole can cause a disulfiram-like reaction when combined with alcohol, leading to severe nausea, vomiting, flushing, tachycardia, and hypotension. Clients must be strictly advised to avoid all forms of alcohol, including hidden sources like cough syrups, during treatment and for at least 48 hours after completing therapy.

B. Drink a liter of water daily: While staying hydrated is generally good for overall health, it's not a specific requirement directly related to the action or side effects of metronidazole for C. difficile colitis. Maintaining adequate fluid intake is important for managing diarrhea associated with the infection, but it's not a direct instruction tied to the medication itself.

C. Keep medication refrigerated: Metronidazole tablets or oral suspension do not require refrigeration; they should be stored at room temperature. Refrigeration is not necessary and could even alter the medication’s consistency or effectiveness.

D. Take one hour after eating: Metronidazole is generally better tolerated when taken with food to minimize gastrointestinal upset. Advising clients to take it after eating can help but is not mandatory nor the most crucial teaching point compared to alcohol avoidance.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide to the client?

Correct Answer is A

Explanation

A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis. Which information should the nurse include in this client's medication teaching plan?

Correct Answer is A

Explanation

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