Author Question: A nurse is scheduling a client's medications. The client is ordered to receive a daily dose of ... (Read 77 times)

storky111 · **on:** Jul 23, 2018

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 · **Reply #1 on:** Jul 23, 2018

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.