A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

"I can continue to take St. John's wort while taking this medication."

"I should take this medication on an empty stomach."

"I expect this medication to raise my blood pressure."

"I know it will be a couple of weeks before the medication helps me feel better."

Answer and Explanation

The Correct Answer is D

A.   St. John's wort is an herbal supplement that can interact with antidepressant medications like amitriptyline and should be avoided.
B.   Taking amitriptyline on an empty stomach can lead to gastrointestinal upset, so it is better to take it with food.
C.   Amitriptyline can have anticholinergic effects, which might lower blood pressure rather than raise it.
D.   Correct. Amitriptyline and other antidepressants take a few weeks to reach their full therapeutic effect, so it's important for the client to understand this delayed response.

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Correct Answer is D

Explanation

A. Incorrect. Premature atrial complexes do not typically affect the P-R interval. They are characterized by an early P-wave followed by a QRS complex.
B. Incorrect. Complete heart block is characterized by a dissociation between the P-waves and QRS complexes, resulting in no relationship between atrial and ventricular activity.
C. Incorrect. Atrial fibrillation is characterized by chaotic and irregular atrial activity without distinct P-waves, making the P-R interval irrelevant.
D. Correct. In first-degree atrioventricular block, the P-R interval is prolonged beyond the normal range of 0.12-0.20 seconds. A constant P-R interval of 0.35 seconds indicates a first- degree atrioventricular block.

A. "I'm sure you can find alternative remedies through an online support group." B. "We can review some information to help you select a safe alternative practitioner." C. "Feel free to try whatever therapies that fit within your personal belief system." D. "If there are therapies available to you, your provider will tell you about them."

Correct Answer is B

Explanation

A. Incorrect. Suggesting finding alternative remedies through an online support group may not provide accurate or safe information.
B. Correct. This response acknowledges the client's interest and offers to provide guidance in selecting a safe alternative practitioner. It's important to ensure that any alternative therapies are safe and evidence-based.
C. Incorrect. While it's important to respect the client's personal beliefs, the nurse should also ensure that the chosen therapies are safe and effective.
D. Incorrect. Waiting for the provider to suggest alternative therapies may delay the client's access to safe and effective treatments.

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A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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