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

Author Question: A nurse performs a medication history on a newly admitted patient. The patient reports taking ... (Read 82 times)

joblessjake

  • Hero Member
  • *****
  • Posts: 555
on: Jul 23, 2018
A nurse performs a medication history on a newly admitted patient. The patient reports taking amitriptyline (Elavil) 75 mg at bedtime for 6 weeks to treat depression.
 
  The patient reports having continued fatigue, lack of energy, and depressed mood. The nurse will contact the provider to discuss which intervention?
  a. Beginning to taper the amitriptyline
  b. Changing to a morning dose schedule
  c. Giving the amitriptyline twice daily
  d. Increasing the dose of amitriptyline

Question 2

A patient who is taking amitriptyline (Elavil) reports constipation and dry mouth. The nurse will give the patient which instruction?
 
  a. Increase fluid intake.
  b. Notify the provider.
  c. Request another antidepressant.
  d. Stop taking the medication immediately.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

akpaschal

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
The response to tricyclic antidepressants (TCAs) should occur after 2 to 4 weeks of therapy. If there is no improvement at this time, the TCA should be gradually withdrawn and an SSRI prescribed. TCAs should never be stopped abruptly. TCAs cause fatigue and drowsiness, so they should be given at bedtime. Changing the dose or the dosing schedule are not indicated.

Answer to Question 2

ANS: A
Constipation and dry mouth are common side effects of tricyclic antidepressants (TCAs), and patients should be taught to manage these symptoms. There is no need to notify the provider or to switch medications unless the side effects become too uncomfortable. Patients should not stop taking TCAs abruptly.


joblessjake

  • Member
  • Posts: 555
Reply 2 on: Jul 23, 2018
Wow, this really help

carlsona147

  • Member
  • Posts: 341
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

In most cases, kidneys can recover from almost complete loss of function, such as in acute kidney (renal) failure.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

In the communication technique of collaborating, the nurse sends the message that the nurse and pati In the communication technique of collaborating, the nurse sends the message that the nurse and pati
Nursing history for rectal and anal assessment Nursing history for rectal and anal assessment
Preparing a Manual Patient Ledger. Preparing a Manual Patient Ledger.
Social History Questions Social History Questions
Kaposi's sarcoma on the skin of an AIDS patient. Kaposi's sarcoma on the skin of an AIDS patient.
Sadie is going to see a movie and is taking her four kids. each movie ticket costs $15 and ... Sadie is going to see a movie and is taking her four kids. each movie ticket costs $15 and ...
Video: Introduction to Breast Cancer

For a complete list of videos, visit our video library