A nurse is monitoring a client with major depressive disorder who is taking amitriptyline. Which finding is an adverse effect of this medication?

Unlock all questions

This demo includes only 20 questions. Upgrade to access hundreds of questions, flashcards, exam simulations, and disable ads.

Full question bankExam simulationsFlashcards
From $24.99Unlock all

Study for the Mental Health CMS Test. Prepare with comprehensive flashcards and multiple choice questions, each offering hints and explanations. Equip yourself for success!

Multiple Choice

A nurse is monitoring a client with major depressive disorder who is taking amitriptyline. Which finding is an adverse effect of this medication?

Explanation:
The adverse effect is rooted in the anticholinergic action of tricyclic antidepressants like amitriptyline. By blocking muscarinic receptors, amitriptyline reduces detrusor muscle contraction and increases sphincter tone, which leads to urinary retention. This effect is common with TCAs, especially in older adults. Hypertension isn’t typical and orthostatic hypotension is more likely; diarrhea would be unusual because anticholinergic effects tend to cause constipation, and excessive salivation is unlikely because secretions are decreased.

The adverse effect is rooted in the anticholinergic action of tricyclic antidepressants like amitriptyline. By blocking muscarinic receptors, amitriptyline reduces detrusor muscle contraction and increases sphincter tone, which leads to urinary retention. This effect is common with TCAs, especially in older adults. Hypertension isn’t typical and orthostatic hypotension is more likely; diarrhea would be unusual because anticholinergic effects tend to cause constipation, and excessive salivation is unlikely because secretions are decreased.

More Multiple Choice Questions
Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy