When starting amitriptyline, a client should be instructed to monitor for which of the following adverse effects?

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ATI Pharmacology Proctored Exam 2019 Questions

Question 1 of 9

When starting amitriptyline, a client should be instructed to monitor for which of the following adverse effects?

Correct Answer: B

Rationale: When a client starts taking amitriptyline, an important adverse effect to monitor for is urinary retention. Amitriptyline is a tricyclic antidepressant that can cause anticholinergic effects, including urinary retention. It is crucial to educate the client on recognizing and reporting this adverse effect to their healthcare provider.

Question 2 of 9

When caring for a school-age child with a new prescription for Atomoxetine, the nurse should monitor the client for which of the following adverse effects of this medication?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 9

A client with Diabetes who is experiencing Nausea due to Gastroparesis may require a prescription for which of the following medications?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

A client has a new prescription for Digoxin for heart failure. Which of the following adverse effects should the client be instructed to monitor for and report to the provider?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

A client has a new prescription for Atorvastatin. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

A client has a new prescription for Nitrofurantoin. Which of the following instructions should be included?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

An older adult client has a new prescription for Digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for Digoxin toxicity?

Correct Answer: B

Rationale: Verapamil, a calcium-channel blocker, can increase digoxin levels, leading to toxicity. When given together, the digoxin dosage may need adjustment, and the nurse should closely monitor the client's digoxin levels to prevent toxicity symptoms such as nausea, vomiting, visual disturbances, and arrhythmias.

Question 8 of 9

A client is prescribed Diltiazem. Which of the following findings should the nurse monitor?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

A healthcare professional is preparing to administer Filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following interventions is appropriate?

Correct Answer: D

Rationale: The correct intervention when preparing to administer Filgrastim is to discard the vial after removing one dose of the medication. This practice helps prevent contamination and ensures the medication's effectiveness. Reusing the vial can lead to contamination and compromise the sterility of the medication, putting the client at risk. Therefore, it is crucial to follow proper aseptic technique and discard the vial after withdrawing the prescribed dose.

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