This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient taking amitriptyline (Elavil) complains of having blurred vision and dry mouth, and he ... (Read 57 times)

xroflmao

  • Hero Member
  • *****
  • Posts: 515
on: Jul 23, 2018
A patient taking amitriptyline (Elavil) complains of having blurred vision and dry mouth, and he states that he hasn't had a bowel movement in 3 days, whereas he normally has one daily.
 
  His vital signs are temperature 97.6 F, pulse 78/minute, blood pressure 130/79, and respirations 20/minutes. Based on this assessment, the nurse should suspect which of the following causes?
  a. Possible toxicity
  b. Cholinergic effects
  c. Dehydration
  d. Anticholinergic effects

Question 2

A nurse is checking on her patients during the night shift. One of the patients admitted with major depression complains of insomnia.
 
  The nurse should notify the patient that she will discuss the insomnia with the prescriber, but she suspects that the prescriber may order which of the following drugs?
  a. Venlafaxine (Effexor)
  b. Mirtazapine (Remeron)
  c. Bupropion (Wellbutrin)
  d. Phenelzine (Nardil)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jesse.fleming

  • Sr. Member
  • ****
  • Posts: 301
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
The signs and symptoms displayed by the patient are consistent with the anticholinergic effects common in patients taking amitriptyline.
There is no evidence of amitriptyline toxicity.
The patient is displaying anticholinergic, not cholinergic, signs and symptoms,.
The patient's findings are not consistent with dehydration, because his pulse rate is within normal limits and he is not hypotensive.

Answer to Question 2

ANS: B
Mirtazapine may cause somnolence and aid sleeping, because it has an increased release of serotonin.
Venlafaxine may actually contribute to the patient's insomnia and therefore would not be recommended for this patient.
Bupropion has the side effects of agitation, excitability, and insomnia and therefore would not be recommended for this patient.
Phenelzine can cause insomnia as a side effect and therefore would not be recommended for this patient.


xroflmao

  • Member
  • Posts: 515
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

nguyenhoanhat

  • Member
  • Posts: 332
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

Walt Disney helped combat malaria by making an animated film in 1943 called The Winged Scourge. This short film starred the seven dwarfs and taught children that mosquitos transmit malaria, which is a very bad disease. It advocated the killing of mosquitos to stop the disease.

Did you know?

As many as 20% of Americans have been infected by the fungus known as Histoplasmosis. While most people are asymptomatic or only have slight symptoms, infection can progress to a rapid and potentially fatal superinfection.

Snout and mouth of sand tiger shark, showing protruding teeth and small eyes Snout and mouth of sand tiger shark, showing protruding teeth and small eyes
Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u
Treating the pregnant patient Treating the pregnant patient
Providing patient education Providing patient education
Fundus of white pateint and black patient Fundus of white pateint and black patient
Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ... Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ...
Video: Sister chromatids of a metaphase chromosome animation

For a complete list of videos, visit our video library