A nurse is assessing a client who has major depressive disorder
and has been receiving amitriptyline for 1 week. Which of the
following outcomes should the nurse expect?
1. Rapid improvement in affect within 30 to 60 min after taking
the medication
2. Greater risk of attempting suicide as affect and energy improve
3. Onset of frequent loose stools
4. Development of physiologic dependence on the medication -
...ANSWER...2. Greater risk of attempting suicide as affect and
energy improve
Rationale: An initial response to amitriptyline can develop in 1
week. For a client who has been severely depressed with suicidal
ideation, the energy to carry out a plan is more possible after 1
week of treatment
A client who has bipolar disorder is to be discharged home with a
prescription for lithium. Which of the following statements
indicates that client teaching regarding the medication has been
effective?
1. "I should eat a regular diet with normal amounts of salt and
fluids."
2. "I should discontinue the lithium when I begin to feel better."
3. "I need to be careful to avoid becoming addicted to the
lithium."
4. "I can skip a dose of medication if my stomach is upset." -
...ANSWER...1. "I should eat a regular diet with normal amounts
of salt and fluids."
Rationale: This statement indicates that the client understands
the teaching because normal levels of sodium and fluid need to be
maintained to ensure adequate excretion of lithium. If sodium
levels are low, the body compensates by decreasing lithium
excretion, which can lead to toxicity.
A nurse is caring for a child who is taking methylphenidate. The
nurse should monitor the child for which of the following
findings as an adverse effect of methylphenidate?
1. Weight gain
2. Tinnitus
3. Tachycardia
4. Increased salivation - ...ANSWER...3. Tachycardia
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