Nokea
A nurse is caring for a client with depression. The client has been prescribed amitriptyline. Which of the following would the nurse integrate into the teaching for the client about how the drug works?
- A. Decreased reuptake of norepinephrine
- B. Increased serotonin in the nervous system
- C. Increased endogenous norepinephrine
- D. Increased endogenous epinephrine
Correct Answer: A
Rationale: Amitriptyline, a tricyclic antidepressant, works by decreasing the reuptake of norepinephrine, increasing its availability in the synapse.
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A client taking phenelzine (Nardil) is at a dinner party and has several glasses of red wine. The client begins to feel nauseated and develops a terrible headache. The client is taken to the nearest emergency department (ED). This client might be experiencing a hypertensive crisis. What other symptoms might the nurse in the ED assess if the client is experiencing a hypertensive crisis?
- A. Constricted pupils
- B. Chills
- C. Chest pain
- D. Tachycardia
- E. Stiff neck
Correct Answer: C,D,E
Rationale: Hypertensive crisis from MAOI-tyramine interactions may present with chest pain, tachycardia, and stiff neck, among other symptoms.
A client is receiving lithium therapy at a health care facility. The client informs the nurse that he is taking antacids for heartburn. The nurse would be alert for which of the following due to the interaction of the two drugs?
- A. Decreased effectiveness of lithium
- B. Increased risk of lithium toxicity
- C. Increased risk for bipolar disorder
- D. Increased psychotic symptoms
Correct Answer: A
Rationale: Antacids can reduce lithium absorption, leading to decreased effectiveness of the drug.
A client is prescribed lithium. The nurse suspects lithium toxicity based on which lithium drug level?
- A. 0.8mEq /L
- B. 1.0mEq /L
- C. 1.3mEq /L
- D. 1.6mEq /L
Correct Answer: D
Rationale: Lithium toxicity typically occurs at serum levels above 1.5 mEq/L, making 1.6 mEq/L indicative of toxicity.
A nurse is caring for a client with suicidal tendencies. Which of the following would be most important for the nurse to do after administering the drug orally?
- A. Inspect the oral cavity to ensure that the drug is swallowed
- B. Monitor body temperature for changes
- C. Monitor blood pressure for unusual changes
- D. Inspect pulse rate for unusual changes
Correct Answer: A
Rationale: Ensuring the drug is swallowed is critical in clients with suicidal tendencies to confirm medication adherence and prevent hoarding.
When assessing a client for depression, which of the following would the nurse most likely find?
- A. Drowsiness
- B. Extreme sadness
- C. Severe headache
- D. Dilated pupils
Correct Answer: B
Rationale: Extreme sadness is a hallmark symptom of depression, distinguishing it from side effects like drowsiness or symptoms of other conditions like hypertensive crisis.