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 A
Explanation
Choice A rationale:
Administering an IV fluid bolus can help increase blood volume and thus increase blood pressure, which can alleviate symptoms of dizziness and lightheadedness. This is a common side effect of ramipril, especially after the first dose.
Choice B rationale:
Naloxone is an opioid antagonist and is not relevant in this context. It’s used to reverse the effects of opioid overdose, not to treat symptoms associated with antihypertensive medications.
Choice C rationale:
Diphenhydramine is an antihistamine used to treat allergic reactions or insomnia, not symptoms associated with antihypertensive medications.
Choice D rationale:
Administering 15 g of carbohydrates would be appropriate for a hypoglycemic patient, not for a patient experiencing dizziness and lightheadedness due to antihypertensive medication.
Correct Answer is A
Explanation
Choice A rationale:
Wheezing can be a sign of an allergic reaction to amoxicillin. It indicates that there may be constriction or inflammation in the airways, which can occur in an allergic reaction.
Choice B rationale:
Bradycardia, or a slower than normal heart rate, isn’t typically associated with an allergic reaction to amoxicillin.
Choice C rationale:
Polyuria, or excessive urination, isn’t typically a sign of an allergic reaction to amoxicillin.
Choice D rationale:
Bruising isn’t typically associated with an allergic reaction to amoxicillin. It could be related to other conditions or medications.
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