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Antidepressant Drugs Chapter 15 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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Antidepressant Drugs Chapter 15 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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Antidepressant Drugs Chapter 15 Exam | Questions And Answers Latest {2024- 2025} A+Graded | 100% Verified
Priority assessments for a patient beginning amitriptyline (Elavil) include:
a.
nausea, diarrhea, and irritability.
b.
seizures, agranulocytosis, and insomnia.
c.
headache, sexual dysfunction, and weight loss.
d.
orthostatic hypotension, arrhythmias, and eye pain. - ANS: D
Tricyclic antidepressants (TCAs) produce anticholinergic (eye pain) and antiadrenergic (orthostatic
hypotension and arrhythmias) side effects. GI symptoms, sexual dysfunction, and weight variations are
related to selective serotonin reuptake inhibitor (SSRI) therapy. Seizures are seen with Wellbutrin
therapy. Agranulocytosis is not considered a major problem with any of the groups of antidepressants.
A 75-year-old patient with a long history of depression begins amitryptiline (Elavil) 100 mg/day. The
patient also takes a diuretic daily for hypertension. The highest priority nursing diagnosis is risk for:
a.
falls related to dizziness and orthostatic hypotension.
b.
ineffective thermoregulation related to anhidrosis.
c.
infection related to suppressed WBC count.
d.
constipation related to slowed peristalsis. - ANS: A
Amitryptiline is a TCA that has a high risk of producing orthostatic hypotension. The patient is placed at
even greater risk because of older age and diuretic therapy, which reduces fluid volume. The other
options are either unassociated or are remote possibilities.
, A depressed patient prepares for discharge. The patient will take desipramine (Norpramin) and have
outpatient visits. The patient complains, "They gave me only a one-week supply of my medicine." Select
the nurse's best reply.
a.
"Federal law limits the amount you may be given at any one time."
b.
"It will save you money if the drug doesn't work well for your symptoms."
c.
"This is a way of ensuring that you will come in for your follow-up appointment."
d.
"Prescribing a small amount of drug addresses our concerns for your continuing safety." - ANS: D
Desipramine is an activating antidepressant, and it might provide a patient who has suicidal ideation
with the energy to make an attempt. Because the therapeutic dose and lethal dose are not widely
separated, TCA overdose is an often used suicide plan. Prescribing only a 7-day supply limits the
possibility of using the drug in a suicide attempt. The other options are either less relevant or incorrect.
Evaluation of a patient's response after one week of tricyclic antidepressant therapy would be expected
to show:
a.
no change in objective or subjective symptoms.
b.
increased appetite and weight gain.
c.
decreased suicidal ideation.
d.
improved mood and affect. - ANS: B
Improved appetite might be caused by the antihistaminic effect of the drug. Improvement in mood
might not occur for 2 to 4 weeks. Suicidal ideation might not improve for 2 to 4 weeks.
A patient with depression and vague suicidal ideation will stay at home, have close family supervision,
and make weekly visits to the health care provider. Bupropion (Wellbutrin) is prescribed. What is the
benefit of bupropion in this scenario?
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