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Author Question: A patient with severe depression has been hospitalized and the physician has ordered amitriptyline. ... (Read 107 times)

sammy

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on: Jul 23, 2018
A patient with severe depression has been hospitalized and the physician has ordered amitriptyline. What common adverse effect will the nurse monitor and assess the patient for? (Select all that apply.)
 
  A) Fever
  B) Myocardial Infarction
  C) Stroke
  D) Dry mouth
  E) Gynecomastia

Question 2

The nurse is caring for a patient receiving an oral fungicide to treat a systemic fungal infection. What intervention would the nurse include in the plan of care?
 
  A) Maintain complete bed rest.
  B) Assess for cyanosis every 4 hours.
  C) Administer medication 1 hour before meals.
  D) Monitor nutritional status.


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milbourne11

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B, C, D
Feedback:
Use of tricyclic antidepressants may lead to GI anticholinergic effects, such as dry mouth, constipation, nausea, vomiting, anorexia, increased salivation, cramps, and diarrhea. Cardiovascular effects (e.g., orthostatic hypotension, hypertension, arrhythmias, myocardial infarction, angina, palpitations, stroke) may occur. Fever and gynecomastia are not normally attributed to amitriptyline therapy.

Answer to Question 2

D
Feedback:
Monitor nutritional status and arrange a dietary consultation as needed to ensure nutritional status secondary to gastrointestinal (GI) upset related to medication. Complete bed rest is unnecessary. Cyanosis is not an anticipated problem. Medications should be given with food not before meals.


sammy

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Reply 2 on: Jul 23, 2018
:D TYSM

bitingbit

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Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

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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.

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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.

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Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

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