What symptom should a nurse be alert for in a client experiencing anticholinergic effects while on a tricyclic antidepressant?

What symptom should a nurse be alert for in a client experiencing anticholinergic effects while on a tricyclic antidepressant?

• A. Tremors and cardiac arrhythmias
• B. Sedation and delirium
• C. Respiratory depression and convulsions
• D. Urine retention and blurred vision

Answer: (D)

A client experiencing anticholinergic effects from a tricyclic antidepressant may exhibit symptoms such as urine retention and blurred vision. Anticholinergic effects are common side effects of tricyclic antidepressants due to their mechanism of action, which includes blocking acetylcholine neurotransmitter activity. This blocking can lead to decreased activity of the bladder, causing urinary retention, as well as affecting the muscles in the eyes, resulting in blurred vision due to difficulty focusing. Understanding these symptoms is essential for monitoring the client and addressing any potential complications that may arise from these effects. Recognizing and managing anticholinergic effects can greatly enhance patient safety and comfort during treatment with tricyclic antidepressants.

A client experiencing anticholinergic effects from a tricyclic antidepressant may exhibit symptoms such as urine retention and blurred vision. Anticholinergic effects are common side effects of tricyclic antidepressants due to their mechanism of action, which includes blocking acetylcholine neurotransmitter activity. This blocking can lead to decreased activity of the bladder, causing urinary retention, as well as affecting the muscles in the eyes, resulting in blurred vision due to difficulty focusing.

Understanding these symptoms is essential for monitoring the client and addressing any potential complications that may arise from these effects. Recognizing and managing anticholinergic effects can greatly enhance patient safety and comfort during treatment with tricyclic antidepressants.