A client with a history of depression is prescribed venlafaxine. Which side effect should the nurse instruct the client to report immediately?

Correct Answer: B

Rationale: For venlafaxine in depression, report increased BP, not nausea, insomnia, or dry mouth. SNRIs risk hypertension urgent vs. common effects. Leadership stresses this imagine headache; it prompts MD, aligning with psych care effectively.

Correct Answer: C

Rationale: Pseudoephedrine works as a decongestant via vasoconstriction, not histamine block, antibacterial, or just BP rise. It shrinks nasal vessels, easing congestion BP may rise secondary, not primary. Leadership knows this imagine a stuffed-up patient; it clears airways, not infections. This reflects nursing's pharmacology grasp, guiding symptom relief in respiratory care effectively.

Correct Answer: B

Rationale: Highlighting shortcomings B is a trap. Nurse leaders overly focused here might dwell on errors, like a missed diagnosis, contrasting with balanced reflection. In healthcare, this can sap confidence, while awareness should build strengths, aligning leadership with constructive self-insight.

Correct Answer: A

Rationale: For atenolol in HTN, checking pulse regularly shows understanding, not stopping, adding salt, or meal timing. Beta-blockers slow the heart monitoring prevents bradycardia. Stopping risks rebound, salt worsens BP. Leadership confirms this imagine dizziness; it ensures safety, aligning with HTN care effectively.

Correct Answer: A

Rationale: For a new tracheostomy, suctioning is priority, not ties, cannula cleaning, or cuff pressure. Airway patency trumps all mucus plugs risk obstruction, especially early on. Ties secure, cleaning maintains, and pressure prevents injury, but breathing's first. Leadership ensures this imagine rattling breaths; suction clears it, ensuring safety. This reflects nursing's ABC focus, aligning with tracheostomy care effectively.

Correct Answer: A

Rationale: Warfarin's anticoagulation increases bleeding risk, requiring lifestyle adjustments. I will use a soft toothbrush to brush my teeth' shows understanding soft bristles minimize gum trauma, reducing bleeds, a practical tip in warfarin education. Continuing aspirin, an antiplatelet, heightens risk without provider okay, needing clarification. Avoiding an electric razor is backward electric is safer than blades, reducing cuts. Stopping broccoli (vitamin K source) isn't absolute consistency matters, not elimination. The toothbrush choice reflects safe self-care, aligning with bleeding prevention strategies, empowering the client to manage warfarin's effects, and confirming the nurse's teaching efficacy.

Correct Answer: B

Rationale: Time management isn't a symptom, unlike headaches, fatigue, or GI issues. Nurse leaders like spotting burnout note this, contrasting with tools. In healthcare, it's effect, not cause, aligning leadership with awareness.

Correct Answer: B

Rationale: Amitriptyline, a tricyclic antidepressant, has anticholinergic effects, making glaucoma especially angle-closure a contraindication, as it increases intraocular pressure, risking vision loss, a critical safety concern requiring alternative therapy. Asthma isn't directly contraindicated unless severe and tied to anticholinergic drying, not typical. Penicillin allergy is unrelated amitriptyline isn't a beta-lactam while weight gain, though a side effect, doesn't preclude use. Glaucoma's risk demands the nurse flag it, ensuring provider review to avoid exacerbating a pre-existing condition, aligning with medication reconciliation duties to prevent harm and tailor treatment safely.

Correct Answer: D

Rationale: Independent self fits individualistic societies , not A, B, C. Nurse leaders like autonomy reflect this, contrasting with group reliance. In healthcare, it's personal drive, aligning leadership with cultural context.