For a client taking amitriptyline, what should the nurse teach to prevent potential falls?

Amitriptyline is a tricyclic antidepressant often used to treat depression and certain types of pain. One of the key side effects of this medication is orthostatic hypotension, which can occur when a patient stands up quickly, leading to dizziness or fainting. This increases the risk of falls, particularly among older adults or those who might already be at risk.

Teaching the client to get up slowly from the bed or a sitting position is crucial because it helps the body adjust to the change in position more gradually, reducing the likelihood of a sudden drop in blood pressure and subsequent dizziness. This practice is commonly referred to as "orthostatic precautions," and it is an important intervention to ensure patient safety while on amitriptyline.

While other options generate awareness about fluid intake and rest, and wearing sunglasses might address light sensitivity or other aspects of comfort and safety, they do not directly address the orthostatic hypotension caused by amitriptyline. Therefore, instructing the client on the importance of rising slowly is the most pertinent teaching point to prevent potential falls.