Exam 23: Antidepressants and Mood Stabilizers

A patient who is taking amitriptyline (Elavil)reports constipation and dry mouth.The nurse will give the patient which instruction?

The nurse is teaching a patient who will begin taking doxepin (Sinequan)to treat depression.Which statement by the patient indicates a need for further teaching?

A patient who takes a monoamine oxidase (MAO)inhibitor asks the nurse about taking over-the-counter medications to treat cold symptoms.Which medication will the nurse counsel the patient to avoid while taking an MAO inhibitor?

The nurse is preparing to administer a dose of lithium (Lithobid)to a patient who has been taking the drug as maintenance therapy to treat bipolar disorder.The nurse assesses the patient and notes tremors and confusion.The patient's latest serum lithium level was 2 mEq/L.Which action will the nurse take?

A patient who has been diagnosed with depression asks why the provider has not ordered a monoamine oxidase (MAO)inhibitor to treat the disorder.The nurse will explain to the patient that MAO inhibitors

A patient who has had a loss of interest in most activities,weight loss,and insomnia is diagnosed with a major depressive disorder and will begin taking fluoxetine (Prozac)daily.The patient asks about the weekly dosing that a family member follows.What will the nurse tell the patient about a weekly dosing regimen?

A patient has been taking paroxetine (Paxil)20 mg per day for 2 weeks and reports headaches,nervousness,and poor appetite.Which action will the nurse take?

The nurse is preparing to administer paroxetine HCl (Paxil)to a 70-year-old patient.The nurse understands that this patient may require

The nurse assesses a patient who is taking lithium (Lithobid)and notes a large output of clear,dilute urine.The nurse suspects which cause for this finding?

A male patient has been taking venlafaxine (Effexor)37.5 mg daily for 2 weeks and reports ejaculation dysfunction and urinary retention.What action will the nurse take?

A patient who has recently begun taking lithium (Lithobid)calls the clinic to report nausea,vomiting,anorexia,and drowsiness.What will the nurse do next?

A patient who has been diagnosed with a major depression disorder has been ordered to take doxepin (Sinequan).The nurse will contact the provider if the patient's medical history reveals a history of which condition?

A patient who has been diagnosed with social anxiety disorder will begin taking venlafaxine (Effexor).The nurse who performs a medication and dietary history will be concerned about ingestion of which substance or drug?

The nurse provides teaching for a patient who will begin taking lithium (Lithobid).Which statement by the patient indicates understanding of the teaching?

A patient who has a major depressive disorder has been taking fluoxetine (Prozac)20 mg daily for 3 months and reports improved mood,less fatigue,and an increased ability to concentrate.The patient's side effects have diminished.What will the nurse counsel this patient to discuss with the provider?

A patient who has a history of migraine headaches is diagnosed with bipolar disorder.The nurse might expect the provider to order which medication for this patient?

A patient who has been taking a monoamine oxidase (MAO)inhibitor for several months will begin taking amoxapine (Asendin)instead of the MAO inhibitor.The nurse will counsel the patient to begin taking the amoxapine

A nurse performs a medication history on a newly admitted patient.The patient reports taking amitriptyline (Elavil)75 mg at bedtime for 6 weeks to treat depression.The patient reports having continued fatigue,lack of energy,and depressed mood.The nurse will contact the provider to discuss which intervention?

The nurse is teaching a patient about foods to avoid when taking isocarboxazid (Marplan).Which foods will the nurse instruct the patient to avoid?

A patient has been taking sertraline (Zoloft)20 mg/mL oral concentrate,1 mL daily for several weeks and reports being unable to sleep well.What will the nurse do next?