Atricyclic antidepressant has been prescribed to a 77-year-old client whose current medication regimen includes omeprazole, captopril, calcium carbonate, alendronate, and warfarin. what assessment should the nurse prioritize when monitoring the client for drug-drug interactions?

There is a need to monitor closely for bleeding and review coagulation indices when accessible.  

Explanation:

Combining warfarin with TCAs develops a threat for bleeding that should be assessed in the nursing care plan. There is no familiar association between the calcium supplements or bisphosphonates and TCAs, which would develop a threat of hypocalcemia. The TCAs do not elevate the threat of gastroesophageal reflux. The TCAs can influence blood pressure, however, this is not associated with any known drug-drug associations.  

surface mining destroys mountain tops, landscapes, forests and wildlife habitats. on top of that, it leads to soil erosion and destruction of agricultural land. the landscape changes can also disrupt river channels and streams, which leads to flooding. which, can destroy plant life and other animals as well.

explanation:

cells spend most of their time in interphase