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 59 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
Thanks for the timely response, appreciate it

bbburns21

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

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?

The National Institutes of Health have supported research into acupuncture. This has shown that acupuncture significantly reduced pain associated with osteoarthritis of the knee, when used as a complement to conventional therapies.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Taking attendance in the genome Taking attendance in the genome
Instruct the patient to use an applicator to apply a small amount of stool in the appropriate boxes ... Instruct the patient to use an applicator to apply a small amount of stool in the appropriate boxes ...
A patient with goiter due to iodine deficiency. A patient with goiter due to iodine deficiency.
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture). Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ... Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ...
Neck stretch. Rest the receiver’s head on the palm of your right hand, taking a firm hold on the ... Neck stretch. Rest the receiver’s head on the palm of your right hand, taking a firm hold on the ...
Video: Gastrin (protein digestion)

For a complete list of videos, visit our video library