CRNE Exam Prep

Category - Changes in Health

The nurse is teaching a male client who is being prescribed amitriptyline hydrochloride (Elavil). The client needs further teaching if he states which of the following?
  1. “I will avoid alcoholic beverages.”
  2. “It may take around two to four weeks before the medication’s desirable effects are evident.”
  3. “I should immediately stop taking the medication once I experience erection disturbances.”
  4. “I may take the medication with food or milk if gastrointestinal distress occurs.”
Explanation
Answer: C - Erection or ejaculatory disturbances are a side effect of tricyclic antidepressants. In case of the development of side effects, a physician consultation is necessary for dose readjustment or change of drug. If a psychotropic medication is to be discontinued, it should be tapered gradually.
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