A nurse is preparing to administer amitriptyline 150 mg PO at bedtime. The amount available is amitriptyline 75 mg tablet. How many tablets should the nurse administer per dose?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A reason:

Advising that the largest meal of the day should be in the evening is not typically recommended for clients with a colostomy. It is generally better to have smaller, more frequent meals throughout the day to aid digestion and reduce the risk of discomfort.

Choice B reason:

Eating yogurt can indeed help decrease the amount of gas. Yogurt contains probiotics, which can aid in digestion and reduce gas production. This is a beneficial dietary choice for clients with a colostomy.

Choice C reason:

Carbonated beverages are not recommended for controlling odor. In fact, they can increase gas production and lead to bloating, which can be uncomfortable for clients with a colostomy.

Choice D reason:

There is no need to eliminate pasta from the diet to prevent loose stools. Instead, clients should focus on a balanced diet that includes low-fiber foods initially and gradually reintroduce other foods while monitoring their effects.

Choice A reason:

Family history of cardiac disease is a non-modifiable risk factor. This means it cannot be changed or controlled through lifestyle or behavioral modifications. A family history of heart disease increases an individual’s risk, but it is not something that can be altered.

Choice B reason:

Increasing age is another non-modifiable risk factor. As people age, their risk for cardiovascular disease naturally increases. This is due to the cumulative effects of aging on the cardiovascular system, which cannot be changed.

Choice C reason:

The diagnosis of diabetes mellitus is a complex risk factor. While the presence of diabetes itself is not modifiable, the management of diabetes through lifestyle changes, medication, and diet can significantly reduce cardiovascular risk. However, the condition itself remains a non-modifiable risk factor.

Choice D reason:

Cigarette smoking is a modifiable risk factor. This means that individuals can reduce their risk of cardiovascular disease by quitting smoking. Smoking cessation has been shown to significantly lower the risk of heart disease and improve overall cardiovascular health.