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 ["1"]
Explanation
Step 1: Convert the child's weight from pounds to kilograms.
44 pounds / 2.2 pounds/kg = 20 kg
Step 2: Calculate the child's total daily dose of gentamicin.
20 kg * 6 mg/kg/day = 120 mg/day
Step 3: Divide the child's total daily dose of gentamicin by the number of doses per day.
120 mg / 3 doses/day = 40 mg/dose
Step 4: Calculate the volume of gentamicin to be administered with each dose.
40 mg / 40 mg/mL = 1 mL/dose
Step 5: Round the answer to the nearest whole number and add a leading zero if necessary.
1 mL/dose = 1 mL/dose
Answer: 1 mL with each dose.
Correct Answer is B
Explanation
Choice A rationale:
Hydrochlorothiazide is a diuretic medication and does not interfere with the absorption of tetracycline.
Choice B rationale:
Antacids can interfere with the absorption of tetracycline, reducing its effectiveness. Therefore, they should be taken 3 hours before or after taking tetracycline.
Choice C rationale:
Lovastatin is a lipid-lowering medication and does not interfere with the absorption of tetracycline.
Choice D rationale:
Acetaminophen is an analgesic and does not interfere with the absorption of tetracycline.
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