What are some common side effects of tricyclic antidepressants (TCAs)?

Diarrhea

Weight gain/loss

Bradycardia

Sexual dysfunction

Answer and Explanation

Correct Answer : B,D

A. Diarrhea: TCAs cause anticholinergic effects, which more commonly lead to constipation rather than diarrhea.

B. Weight gain/loss: Weight gain is a common side effect of TCAs, though some clients may experience weight loss.

C. Bradycardia: TCAs are more likely to cause tachycardia, arrhythmias, and orthostatic hypotension, not bradycardia.

D. Sexual dysfunction: TCAs can cause sexual dysfunction, including decreased libido, erectile dysfunction, and anorgasmia.

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Correct Answer is C

Explanation

A. Ibuprofen (NSAID): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not affect serotonin levels.

B. Acetaminophen (Antipyretic): Acetaminophen is used for fever and pain and does not impact serotonin metabolism.

C. Venlafaxine (SNRI): Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine increase serotonin levels and can contribute to serotonin syndrome, especially when combined with other serotonergic drugs.

D. Lisinopril (ACE inhibitor): Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and does not affect serotonin.

A. Ensure an NPC status is maintained for the length of the prescribed treatment B. Perform chest physiotherapy as prescribed by the practitioner C. Limit each suctioning event to no more than 10 seconds D. Elevate the head of the bed between 30 to 45 degrees

Correct Answer is D

Explanation

A. Ensure an NPO status is maintained for the length of the prescribed treatment: While some ventilated patients are NPO, others receive enteral feeding. NPO status alone does not prevent aspiration.

B. Perform chest physiotherapy as prescribed by the practitioner: Chest physiotherapy helps clear secretions but does not directly reduce aspiration risk.

C. Limit each suctioning event to no more than 10 seconds: While limiting suction time is important to avoid hypoxia, it does not directly prevent aspiration.

D. Elevate the head of the bed between 30 to 45 degrees: Keeping the head of the bed elevated reduces the risk of aspiration, partic

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What are some common side effects of tricyclic antidepressants (TCAs)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following medications can cause serotonin syndrome?

Correct Answer is C

Explanation

The nurse provides care to a patient who is mechanically ventilated. Which nursing action is most effective in decreasing the risk for aspiration?

Correct Answer is D

Explanation

Which of the following nursing diagnosis take priority immediately after electroconvulsive therapy (ECT)

Which entry made my nurse most accurately documents a client's mood?

Which client is at the highest risk for the diagnosis of major depressive disorder?

Which is the priority initial assessment for a patient who is admitted to the post anesthesia care unit (PACU) after surgery with general anesthesia?

The nurse would recognize which acronym as representing problem-oriented charting?

What is the purpose of a black box warning on medication labels?

A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

The nurse is providing education to a patient regarding the use of an incentive spirometer. Which patient statement requires further education?