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:
Hoarseness of voice can be a symptom of an allergic reaction, indicating swelling and inflammation in the throat. If the client’s voice is no longer hoarse after taking diphenhydramine, it suggests that the medication has been effective in reducing this symptom.
Choice B rationale:
Diphenhydramine is an antihistamine and can often cause drowsiness as a side effect. Therefore, feeling more alert would not typically indicate that the medication has been effective.
Choice C rationale:
While headaches can sometimes be associated with allergic reactions, they are not a primary symptom that diphenhydramine targets. Therefore, absence of a headache does not necessarily indicate effectiveness of the medication.
Choice D rationale:
Increased appetite is not typically associated with the effectiveness of diphenhydramine in treating allergic reactions.
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.
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