A nurse is scheduling a client's medications. The client is ...

[storky111]

A nurse is scheduling a client's medications. The client is ordered to receive a daily dose of amitriptyline (Elavil). Because of the major side effects of this medication, the nurse correctly schedules this medication at:
 
  a. 8:00 AM.
  b. 12:00 PM.
  c. 5:00 PM.
  d. 10:00 PM.

Question 2

A client is on maintenance lithium therapy for bipolar disorder. The client enters the emergency department complaining of tremors. The client appears to be giddy and confused.
 
  A serum lithium level is drawn and is found to be 2 mEq/L. The nurse would anticipate:
  a. holding the next dose of lithium.
  b. administering the next dose of lithium at the next scheduled time.
  c. administering the next dose of lithium STAT.
  d. administering a dose of lithium double the normal dose.

[durant1234]

Answer to Question 1

ANS: D
This medication, a tricyclic antidepressant, may cause sedation, so it should be given at bedtime.

Answer to Question 2

ANS: A
This serum lithium level is above therapeutic range and the client is demonstrating symptoms of early lithium toxicity. The next dose would be held.

[storky111]

Thanks for the timely response, appreciate it

[kjohnson]

Wow, this really help