The client receives amitriptyline (Elavil). What is a priority teaching point at discharge?
1. Do not rapidly stand up or change positions.
2. Begin a low-carbohydrate diet.
3. Avoid green, leafy vegetables.
4. Do not take aspirin with this drug.
Correct Answer: 1
Rationale 1: The most common side effect of tricyclic antidepressants is orthostatic hypotension. Clients must be taught to stand up or change positions slowly.
Rationale 2: Eating a low-carbohydrate diet, taking aspirin, and eating green, leafy vegetables have no effect on the action or side effects of this drug.
Rationale 3: Eating a low-carbohydrate diet, taking aspirin, and eating green, leafy vegetables have no effect on the action or side effects of this drug.
Rationale 4: Eating a low-carbohydrate diet, taking aspirin, and eating green, leafy vegetables have no effect on the action or side effects of this drug.
Global Rationale: The most common side effect of tricyclic antidepressants is orthostatic hypotension. Clients must be taught to stand up or change positions slowly. Eating a low-carbohydrate diet, taking aspirin, and eating green, leafy vegetables have no effect on the action or side effects of this drug.
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1. Orange juice. 2. Black or green tea. 3. Milk. 4. Tomato juice.
Which of the following did Lillian Wald help establish?
a. Child employment centers with shortened work days b. Daycare centers for preschool-aged children c. Nurseries for infants of working mothers d. School health nursing for school-aged children
A 60-year-old man has presented to his family physician following an earache that has become progressively more painful in recent days
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The nurse is caring for a patient who has expressed a desire to commit suicide. Which statement by the nurse is most appropriate?
1. "Your problems will get better. Hurting yourself is not the answer." 2. "Your family and friends will be very upset at you if you hurt yourself." 3. "I am shocked that you would consider hurting yourself. You have so much to live for." 4. "I am here for you. I know you want to hurt yourself, but there are things we can do to help you."