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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Blurred vision is not a common side effect of the meningococcal conjugate vaccine.
Choice B rationale:
Tinnitus, or ringing in the ears, is also not a common side effect of this vaccine.
Choice C rationale:
Headache is a common side effect of the meningococcal conjugate vaccine.
Choice D rationale:
Dry mouth is not typically associated with this vaccine.
Correct Answer is A
Explanation
Choice A rationale:
Levalbuterol is a short-acting beta agonist, which is commonly used for quick relief in an acute asthma attack.
Choice B rationale:
Cromolyn is used as a preventive treatment for asthma, not for treating an acute attack.
Choice C rationale:
Budesonide is a corticosteroid used for long-term control and prevention of symptoms, not for immediate relief during an acute asthma attack.
Choice D rationale:
Ipratropium is used as a bronchodilator for asthma, but it’s typically not the first choice for treating an acute asthma attack.
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