A severely depressed patient has been prescribed clomipramine (Anafranil). For which medication side effects should the patient be monitored?

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Nursing Cardiovascular Drug List Quizlet Questions

Question 1 of 5

A severely depressed patient has been prescribed clomipramine (Anafranil). For which medication side effects should the patient be monitored?

Correct Answer: D

Rationale: The correct answer is D: Orthostatic hypotension and constipation. Clomipramine is a tricyclic antidepressant known to cause orthostatic hypotension, which can lead to dizziness and falls. Constipation is also a common side effect due to its anticholinergic properties. Excess salivation and drooling (A) are not typical side effects of clomipramine. Muscle rigidity and restlessness (B) are more commonly associated with antipsychotic medications. Polyuria and coarse hand tremors (C) are not commonly seen with clomipramine.

Question 2 of 5

Australian law prohibited alcohol in Indigenous Australian communities during what historical time period?

Correct Answer: C

Rationale: The correct answer is C (1920s - 2008) because Australian law prohibited alcohol in Indigenous Australian communities during this time period. The rationale is that the 1920s marked the beginning of alcohol restrictions imposed on Indigenous communities, and these laws were in place until 2008 when the Northern Territory Emergency Response Act repealed them. Choices A, B, and D are incorrect because they do not encompass the full historical time frame during which alcohol prohibition was enforced in Indigenous Australian communities.

Question 3 of 5

__________ side effects can occur when antipsychotic medications are taken that manifest as abnormal movements such as akathisia and pseudo-Parkinson symptoms.

Correct Answer: A

Rationale: Step 1: Extrapyramidal side effects are movement disorders caused by antipsychotic medications. Step 2: Akathisia and pseudo-Parkinson symptoms are classic examples of extrapyramidal side effects. Step 3: Anticholinergic medications primarily cause dry mouth, constipation, and blurred vision, not movement disorders. Step 4: Serotonergic medications affect serotonin levels, leading to mood and behavior changes, not movement disorders. Step 5: Adrenergic medications target the sympathetic nervous system, causing effects like increased heart rate and blood pressure, not movement disorders. Summary: The correct answer is A because extrapyramidal side effects specifically refer to abnormal movements caused by antipsychotic medications, while the other choices do not match the symptoms described in the question.

Question 4 of 5

A client with depression mentions to the nurse, 'My mother says depression is a chemical disorder. What does she mean?' The nurse’s response is based on the theory that depression primarily involves the following neurotransmitters:

Correct Answer: A

Rationale: The correct answer is A: Serotonin and dopamine. Depression is associated with imbalances in neurotransmitters such as serotonin and dopamine. Serotonin plays a role in regulating mood, sleep, and appetite, while dopamine is involved in motivation and pleasure. Low levels of these neurotransmitters are often seen in individuals with depression. Cortisol and GABA (choice B) are more related to stress response and anxiety disorders. COMT and glutamate (choice C) are not primary neurotransmitters involved in depression. Monamine and glycine (choice D) are not specific neurotransmitters related to depression. In conclusion, A is correct as serotonin and dopamine are the primary neurotransmitters associated with depression.

Question 5 of 5

The nurse notes in the patient’s medication history that the patient is taking cyclobenzaprine (Flexeril). Based on this finding, the nurse interprets that the patient has which disorder?

Correct Answer: A

Rationale: The correct answer is A: A musculoskeletal injury. Cyclobenzaprine is a muscle relaxant commonly prescribed for musculoskeletal conditions such as muscle spasms and pain. This drug works by blocking nerve impulses that cause muscle contractions. Therefore, the nurse can infer that the patient is taking cyclobenzaprine for a musculoskeletal issue. Incorrect choices: B: Insomnia - Cyclobenzaprine is not indicated for insomnia. It has sedative effects, but it is primarily used for muscle relaxation. C: Epilepsy - Cyclobenzaprine is not used to treat epilepsy. It does not have anticonvulsant properties. D: Agitation - Cyclobenzaprine is not typically prescribed for agitation. It is specifically used for muscle-related issues.

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