Author Question: A patient with severe depression has been hospitalized and the physician has ordered amitriptyline. ... (Read 109 times)

sammy · **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.

milbourne11 · **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.