The client asks the nurse why a tricyclic antidepressant has not been prescribed for depression. What is the best response by the nurse?
1. "Tricyclic antidepressants have many side effects, including orthostatic hypotension, headache, and diarrhea."
2. "Tricyclic antidepressants cause sexual dysfunction."
3. "Tricyclic antidepressants are not recommended for a client with a history of heart attack."
4. "Tricyclic antidepressants cause weight gain."
Correct Answer: 3
Rationale 1: "Tricyclic antidepressants have many side effects including orthostatic hypotension, headache, and diarrhea" is incorrect because this is a side effect of MAOIs.
Rationale 2: "Tricyclic antidepressants cause sexual dysfunction" is incorrect because this is a side effect of SSRIs.
Rationale 3: Tricyclic antidepressants are not recommended for a client with a history of heart attack.
Rationale 4: Tricyclic antidepressants are not recommended for a client with a history of heart attack.
Global Rationale: Tricyclic antidepressants are not recommended for a client with a history of heart attack. "Tricyclic antidepressants have many side effects including orthostatic hypotension, headache and diarrhea" is incorrect because this is a side effect of MAOIs. "Tricyclic antidepressants cause sexual dysfunction" is incorrect because this is a side effect of SSRIs. Tricyclic antidepressants are not recommended for a client with a history of heart attack.
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