A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar

Change positions slowly from sitting or lying to standing is correct. Amitriptyline, a tricyclic antidepressant, can cause orthostatic hypotension. Clients should move slowly from sitting or lying to standing.Do not stop taking the drug abruptly is correct. Relapse and withdrawal symptoms can occur with abrupt discontinuation of amitriptyline. When discontinuing the drug, it is important to reduce the dosage over a 2-week period to prevent or minimize withdrawal symptoms.Wear sunscreen and protective clothing is incorrect. Although it is important for all clients to protect their skin from sun exposure no matter what drugs they take, amitriptyline, a tricyclic antidepressant, is unlikely to cause photosensitivity. Antipsychotics, such as chlorpromazine, do cause photosensitivity and warrant such precautions.Take the drug at bedtime to prevent daytime drowsiness is correct. Amitriptyline, a tricyclic antidepressant, can cause drowsiness. Clients should take the drug at bedtime and avoid activities that require alertness until they know how the drug will affect them.Increase fiber and fluid intake is correct. Amitriptyline, a tricyclic antidepressant, causes anticholinergic effects, such as dry mouth, constipation, and urinary retention. Clients should increase fiber and fluid intake during drug therapy and urinate before taking the drug.

Motion sickness is incorrect. Bupropion, an atypical antidepressant, can cause nausea, vomiting, and constipation. It does not prevent or treat motion sickness. Seasonal affective disorder is correct. Bupropion, an atypical antidepressant, helps prevent and treat seasonal affective disorder, a type of depression associated with the reduction of natural light during winter months. Insomnia is incorrect. Bupropion, an atypical antidepressant, can cause insomnia and agitation. It does not prevent or treat insomnia. Nicotine addiction is correct. Bupropion, an atypical antidepressant, is an appropriate adjunct for clients who are trying to quit smoking. Depression is correct. Bupropion, an atypical antidepressant, can help treat depression.

Tolerance is correct. Tolerance and dependence can develop with benzodiazepines, such as alprazolam. Clients should use these drugs only as needed and for short periods of time. Anxiety is correct. Paradoxical reactions, such as anxiety and insomnia, can develop when taking alprazolam, especially in older adults. Clients should report these findings.Sedation is correct. CNS depression, manifested as sedation and drowsiness, is an adverse effect of benzodiazepines, such as alprazolam. Clients should take a benzodiazepine 30 min prior to bedtime.Respiratory depression is correct. Benzodiazepines, such as alprazolam, can cause CNS depression when taken with other CNS depressants, especially for older adult clients. It is important to monitor for respiratory depression and recommend the lowest effective dose. Clients should avoid alcohol and other CNS depressants while taking a benzodiazepine.Constipation is incorrect. Benzodiazepines, such as alprazolam, are unlikely to cause constipation. However, they can cause nausea, vomiting, and diarrhea.

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