The use of nortriptyline requires careful monitoring of blood levels because:
a. levels above 2 are toxic
b. antidepressant effects are not seen below 50 ng/ml or above 150 ng/mL
c. levels of this drug in the blood rise and fall dramatically and erratically
d. the level of this drug in the blood must never be above 100 ng/mL
B
The use of nortryptiline requires careful monitoring of blood levels because antidepressant effects are not seen below 50 mg/mL or above 150 mg/mL. For most other medications, therapeutic dosages range between 100 and 200 mg daily.
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A patient with bipolar disorder has rapid cycles. To prepare teaching materials, the nurse anticipates which medication will be prescribed?
a. Clonidine (Catapres) b. Phenytoin (Dilantin) c. Carbamazepine (Tegretol) d. Chlorpromazine (Thorazine)
The term used to describe an increase in blood urea nitrogen (BUN) and serum creatinine is:
a. oliguria. b. azotemia. c. acute kidney injury. d. prerenal disease.
The nurse is instructing a patient, recovering from thoracic surgery, on pulmonary hygiene. Which of the following will facilitate the removal of lung secretions causing the least amount of pain to the patient?
1. Instruct the patient to cough 3 to 4 times with each exhalation. 2. Assist the patient to a sitting position to lean over the bedside table while coughing. 3. Provide the patient with a pillow to splint the incision while coughing. 4. Guide the patient to cough with the glottis open.
Some clients being chronically treated with which of the following drugs may develop hemolytic reactions?
a. mefloquine HCl (Lariam) c. primaquine b. chloroquine (Aralen) d. quinine