A patient with severe depression has been hospitalized and the physician has ordered amitriptyline. What common adverse effect will the nurse monitor and assess the patient for? (Select all that apply.)
A) Fever
B) Myocardial Infarction
C) Stroke
D) Dry mouth
E) Gynecomastia
B, C, D
Feedback:
Use of tricyclic antidepressants may lead to GI anticholinergic effects, such as dry mouth, constipation, nausea, vomiting, anorexia, increased salivation, cramps, and diarrhea. Cardiovascular effects (e.g., orthostatic hypotension, hypertension, arrhythmias, myocardial infarction, angina, palpitations, stroke) may occur. Fever and gynecomastia are not normally attributed to amitriptyline therapy.
You might also like to view...
The nurse is assessing the patient for the presence of a Chvostek's sign. What electrolyte imbalance does a positive Chvostek's sign indicate?
A) Hypermagnesemia B) Hypomagnesemia C) Hypocalcemia D) Hyperkalemia
All except which of the following are considered clinical symptoms of anxiety?
A) Palpitations B) Extreme restlessness C) Motor excitement D) Tearfulness and sadness
The client is admitted to the medical center with a diagnosis of right-sided heart failure. In as-sessment of this client, the nurse expects to find:
1. Dyspnea 2. Confusion 3. Dizziness 4. Peripheral edema
A patient whose spouse has chronic myelogenous leukemia is concerned that future children will inherit that genetic disorder. How should the nurse respond to this patient?
A. "The genetic makeup that created the chronic myelogenous leukemia in your spouse is not inheritable." B. "Maybe you should re-think having children." C. "I would be concerned, too." D. "It could cause the same disorder, but it's a decision that you will have to make."