A patient receiving a tricyclic antidepressant complains of constipation. What is the health care provider's interpretation of the patient's complaint?
a. It is a sign of recovery from depression.
b. It is an attention-getting mechanism.
c. It is a common side effect of the drug.
d. It is an indication that this drug should be stopped.
ANS: C
Constipation is a common side effect of tricyclic antidepressant drug therapy. Constipation is one of the anticholinergic adverse drug effects.
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The client with bulimia is experiencing anxiety. What action should the nurse take to assist the client to avoid binge eating and purging in response to the anxiety?
1. Assume a matter-of-fact attitude and positive expectations of the client. 2. Project a calm reassuring attitude and provide a quiet non-stimulating environment. 3. Contract for safety since the client is likely to engage in self-injurious behavior. 4. Maintain total control of the environment and project an attitude of authority.
The patient scheduled for a Syme amputation (modified ankle disarticulation amputation) in the morning is concerned about his future ability to stand on the amputated extremity. When he asks the nurse about this, what is the nurse's best response?
A) "You will be able to withstand full weight-bearing on this durable extremity after it heals." B) "You will have minimal weight-bearing on this extremity and will require the use of an assistive device." C) "You will not be able to use this extremity and will receive teaching on use of a wheelchair." D) "You will be fitted for a prosthesis, and your commitment to rehabilitation will determine your functional abilities."
A nurse is working in a health department when a patient arrives who has been traveling to South America and has been diagnosed with malaria. The nurse knows:
a. The Morbidity and Mortality Weekly Report should be consulted to investigate the rate of malaria in the United States. b. This is a disease that must be reported to the state health department. c. The nurse should take precautions to wear a mask and gown to avoid exposure. d. The patient is very ill and should be sent to the hospital immediately.
A patient has been prescribed a second 10-day course of a corticosteroid. The nurse should provide which medication education?
1. "Make certain you do weight-bearing exercises at least three times each week." 2. "Weigh yourself every day." 3. "Let us know if you development a fever." 4. "Monitor the color of your urine." 5. "If you feel jittery or anxious, discontinue the medication."