Answer to Question 1
Correct Answer: 2
Rationale 1: A history of alcoholism is not a priority, because tricyclic antidepressants are not addictive.
Rationale 2: History of heart disease is a priority assessment because tricyclic antidepressants are not recommended in clients with a history of heart attack, heart block, or abnormal heart rhythm.
Rationale 3: A history of ulcers is not a priority, because tricyclic antidepressants do not alter gastrointestinal mucosa.
Rationale 4: A history of diabetes mellitus is not a priority, because tricyclic antidepressants do not alter glucose metabolism.
Global Rationale: History of heart disease is a priority assessment because tricyclic antidepressants are not recommended in clients with a history of heart attack, heart block, or abnormal heart rhythm. A history of alcoholism is not a priority, because tricyclic antidepressants are not addictive. A history of ulcers is not a priority, because tricyclic antidepressants do not alter gastrointestinal mucosa. A history of diabetes mellitus is not a priority, because tricyclic antidepressants do not alter glucose metabolism.
Answer to Question 2
Correct Answer: 2
Rationale 1: While dry mouth could be a side effect, it is easily managed, and not a serious complication.
Rationale 2: Medication can accumulate in the system of elderly clients and produce generalized brain dysfunction. This can result in agitation.
Rationale 3: Sleeping 1 extra hour would be a positive benefit.
Rationale 4: This medication is not an appetite suppressant, so it would not affect appetite.
Global Rationale: Medication can accumulate in the system of elderly clients and produce generalized brain dysfunction. This can result in agitation. While dry mouth could be a side effect, it is easily managed, and not a serious complication. Sleeping 1 extra hour would be a positive benefit. This medication is not an appetite suppressant, so it would not affect appetite.