The physician has ordered amitriptyline (Elavil) for a client with depression. The nurse should tell the client that:

Correct Answer: B

Rationale: Difficulty with urination is a common amitriptyline side effect (anticholinergic), needing monitoring mood improvement takes weeks, milk isn't restricted, and dry mouth doesn't warrant stopping. Nurses teach this, managing expectations, ensuring adherence in depression treatment.

Correct Answer: C

Rationale: Placing a pillow between the legs during turning maintains abduction, preventing hip prosthesis dislocation post-right total hip replacement knees together adducts, supine extension risks posterior dislocation, and trapeze use is safe but unrelated. Nurses enforce this, ensuring joint stability, key for orthopedic recovery.

Correct Answer: B

Rationale: Copper-T, an intrauterine device (IUD), has known side effects, with bleeding being the most frequent. Pain (choice A) occurs, especially during insertion or cramping, but it's typically transient. Bleeding (choice B), including heavier periods or spotting, affects most users due to copper's inflammatory effect on the endometrium, often leading to discontinuation. Perforation (choice C) is rare, occurring in <1/1000 insertions, and ectopic pregnancy (choice D) is a serious but uncommon risk, as IUDs primarily prevent intrauterine implantation. B is correct, as clinical data consistently show bleeding as the commonest complaint. Nurses must educate patients on expected bleeding patterns, monitor for anemia, and assess when intervention (e.g., removal) is needed, ensuring informed use of this contraceptive method.

Correct Answer: B

Rationale: Growth charts track child development. New Ballard Scale (choice A) assesses gestational age, not growth. Road to health chart (choice B), per WHO, plots weight-for-age, monitoring nutrition and health longitudinally. Apgar Score (choice C) evaluates newborns at birth, not growth. GCS Score (choice D, Glasgow Coma Scale) assesses consciousness. B is correct, synonymous with growth charts. Nurses use it to detect malnutrition, educate caregivers, and guide interventions, ensuring child well-being.

Correct Answer: C

Rationale: Dialysis corrects biochemical imbalances in renal failure. Elevated creatinine (choice A) is cleared, reducing toxicity. Hyperkalemia (choice B) is adjusted by potassium removal. Anemia (choice C) persists, as dialysis doesn't replace erythropoietin or red cells, requiring separate treatment. Hypernatremia (choice D) is managed by fluid/sodium balance. C is correct, dialysis limitation. Nurses monitor hemoglobin, administer erythropoietin, and coordinate care, addressing anemia beyond dialysis.