A nurse is caring for a client who started taking amitriptyline 6 days ago.
The client reports that the medication is not helping.
Which of the following responses should the nurse make?

"I will inform your provider so she can prescribe a different medication.”

"You will need to take this medication on an empty stomach for it to be more effective.”

"You will need to wait a couple of weeks to feel the therapeutic effect of the medication.”

"I will ask your provider to increase the dose of the medication.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

While it’s important for the provider to be informed if the medication isn’t working, it’s premature to change the medication after only 6 days.

Choice B rationale:

Amitriptyline does not need to be taken on an empty stomach to be effective.

Choice C rationale:

Amitriptyline, a tricyclic antidepressant, often takes several weeks before a therapeutic effect is felt.

Choice D rationale:

Increasing the dose prematurely can lead to unnecessary side effects. It’s better to wait for the medication to take effect.

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Correct Answer is C

Explanation

Choice A rationale:

Asking for a home phone number is not an effective method for identifying a patient. Phone numbers can be easily forgotten or mixed up, especially in a hospital setting where a patient may be under stress or experiencing health issues.

Choice B rationale:

Room numbers can change if the patient is moved, and other patients may have previously occupied the same room. Therefore, room numbers are not reliable identifiers.

Choice C rationale:

Asking the patient to confirm their own name is one of the most direct and reliable ways to verify their identity. This method respects patient autonomy and privacy while ensuring accurate identification.

Choice D rationale:

Age alone is not a reliable identifier because it does not distinguish between different patients of the same age.

A. Donepezil. B. Scopolamine. C. Metoprolol. D. Acetaminophen.

Correct Answer is B

Explanation

Choice A rationale:

Donepezil is a medication used to treat symptoms of Alzheimer’s disease and does not typically cause urinary retention.

Choice B rationale:

Scopolamine, an anticholinergic drug, can cause urinary retention. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that helps to contract the bladder muscles and relax the urinary sphincters to allow urination.

Choice C rationale:

Metoprolol is a beta-blocker used to treat high blood pressure and heart problems. It does not typically cause urinary retention.

Choice D rationale:

Acetaminophen is a common over-the-counter pain reliever and does not typically cause urinary retention.

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A nurse is caring for a client who started taking amitriptyline 6 days ago.The client reports that the medication is not helping.Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

Explanation

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A nurse is caring for a client who started taking amitriptyline 6 days ago.
The client reports that the medication is not helping.
Which of the following responses should the nurse make?