What are the SE of nortriptyline (Pamelor)?

Correct Answer: D

Rationale: The correct answer is D, "All of the above." Nortriptyline, a tricyclic antidepressant, can cause sedation, orthostatic hypotension, dry mouth, urinary retention, cardiac dysrhythmias, and decreased libido. Sedation and orthostatic hypotension are common side effects due to its anticholinergic and alpha-adrenergic blocking properties. Dry mouth and urinary retention are also common due to its anticholinergic effects. Cardiac dysrhythmias can occur due to its effects on sodium channels, and decreased libido is a potential side effect. Therefore, all the mentioned side effects can occur with nortriptyline use.

Correct Answer: A

Rationale: The correct answer is A because benzodiazepines like chlordiazepoxide and diazepam are the first-line treatment for alcohol withdrawal delirium due to their ability to manage symptoms and prevent seizures. Antipsychotics like haloperidol (choice B) can worsen delirium, and antidepressants like fluoxetine (choice C) are not indicated for acute alcohol withdrawal. Choice D is incorrect as antipsychotics and antidepressants are not recommended for alcohol withdrawal delirium.

Correct Answer: C

Rationale: The correct answer is C because inhalant overdose can lead to a range of serious effects on the body. Liver and brain damage, heart failure, and respiratory arrest are all potential outcomes of inhalant overdose, which aligns with option A. Additionally, suffocation, coma, and death are also common consequences of inhaling toxic substances, supporting option B. Therefore, both A and B are correct in describing the effects of inhalant overdose. Option D is incorrect as it contradicts the well-documented harmful effects of inhalant overdose.

Correct Answer: C

Rationale: The correct answer is C because monitoring food and fluid intake (choice A) and offering finger foods and weighing the patient regularly (choice B) are essential nursing interventions for dementia-related nutrition. Monitoring intake ensures adequate nutrition and hydration, while finger foods are easier for dementia patients to eat. Weighing the patient helps track changes in weight, which can indicate nutritional status. Choice D is incorrect because these interventions are crucial for managing nutrition in dementia patients.

Correct Answer: D

Rationale: The correct answer is D because interventions for impulse control disorders should address various aspects, including tension reduction, stress control, exploring underlying feelings, and promoting healthier responses to tension. A alone focuses on stress control strategies, B emphasizes substitution of maladaptive responses, and C involves exploring associated feelings. By combining all these strategies, individuals can develop a comprehensive approach to managing their impulses effectively. Each option on its own may not provide a holistic solution, making D the most appropriate choice.