The depressed patient who has been taking amitriptyline (Elavil) for the past 2 weeks complains of still feeling depressed and wants to abandon the drug. The nurse's most helpful response would be:

a. "All drugs don't work for all people. I will talk to the physician about a new order for a different drug."
b. "You probably should quit taking Elavil if it is not helping you."
c. "Sometimes drinking a small glass of wine with meals helps."
d. "These drugs take several weeks to be-come effective."


D
It can take up to 4 weeks before symptoms are relieved by tricyclics.

Nursing

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A client's preanesthetic preparation for surgery in which general anesthesia will be administered includes which of the following? (Select all that apply.)

a. being admitted to the hospital the day prior to the surgery b. withholding of food and fluids for at least 8 hours before the procedure c. signing a form indicating informed consent for administration of anesthesia d. taking regularly scheduled medications on the day of surgery with a minimal amount of water e. limiting visitors to reduce stress and anxiety prior to surgery

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Rebound tenderness of the abdomen is a sign of:

A. Constipation B. Peritoneal inflammation C. Elevated venous pressure D. Peritoneal edema

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Which of the following diseases may result in decreased lung compliance?

A) emphysema B) appendicitis C) acne D) chronic diarrhea

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Ongoing monitoring for women on ERT includes:

1. Lipid levels, repeated annually if abnormal 2. Annual health history and review of risk profile 3. Annual mammogram 4. All of the above

Nursing