An older patient is started on amitriptyline to control depression. The nurse knows to monitor for (Select all that apply)
a. impaired psychomotor function.
b. irregular heart rate.
c. polyuria.
d. pulmonary edema.
A, B, C
Tricyclic antidepressants (amitriptyline and amitriptyline compounds) have strong anticholinergic effects; may lead to ataxia, impaired psychomotor function, syncope, falls; cardiac arrhythmias (QT interval changes); may produce polyuria or lead to urinary incontinence; may exacerbate chronic constipation
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A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom?
A) Urinary retention B) Fever C) Frequency D) Painless hematuria
A common reaction of elderly persons experiencing disaster may be:
1. Anger 2. Fear of loss of independence 3. Violence 4. Regression
The side-lying position is:
a. The supine position b. Fowler's position c. Sims' position d. The lateral position
The nurse is caring for a patient of Asian descent who speaks very little English. The nurse is especially concerned and attempts to develop a trusting relationship with the patient. She does this knowing that
a. Cultural assessment needs to be done quickly to provide the best care early. b. Miscommunication cannot be tolerated in cultural assessment. c. The goal is to get the patient to conform to American health care norms. d. Cultural assessment is intrusive in contrast to other types of interviews.