Psychiatric Nursing Part VII amitriptyline hydrochloride

This psychiatric nclex nursing exam related to agranulocytosis, lithium carbonate, clomipramine, and amitriptyline hydrochloride.

The client has been taking the monoamine oxidase inhibitor (MAOI) phenelzine (Nardil), 10 mg bid. The physician orders a selective serotonin reuptake inhibitor (SSRI), paroxetine (Paxil), 20 mg given every morning. The nurse:

a. Gives the medication as ordered.
b. Questions the physician about the order.
c. Questions the dosage ordered.
d. Asks the physician to order benztropine (Cogentin) for the side effects.

Antidepressants cannot be given at the same time unless the other one is tapered while the other one is given gradually.

Which of the following client statements about clozapine (Clozaril) indicates that the client needs additional teaching?

a. “I need to have my blood checked once every several months while I’m taking this drug.”
b. “I need to sit on the side of the bed for a while when I wake up in the morning.”
c. “The sleepiness I feel will decrease as my body adjusts to clozapine.”
d. “I need to call my doctor whenever I notice that I have a fever or sore throat.”

Clozapine causes AGRANULOCYTOSIS and bone marrow depression. Early s/s includes fever and sore throat. The medication is to be withheld this time or the patient might develop severe infection leading to death.

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