A nurse is caring for a client who started taking amitriptyline 6 days ago.
The client reports that the medication is not helping.
Which of the following responses should the nurse make?

Choice A rationale:

Donepezil does not decrease urinary output. It works by increasing the amount of a certain naturally occurring substance in the brain.

Choice B rationale:

Donepezil does not improve pulmonary function. Its primary function is to improve mental function.

Choice C rationale:

Donepezil improves cognitive function. It can improve thinking ability and slow the loss of these abilities in people who have Alzheimer’s disease.

Choice D rationale:

Donepezil does not decrease the incidence of seizures. In fact, patients should inform their healthcare provider if they have a history of seizures before starting donepezil.

Choice Arationale:

Aspiration (pulling back on the syringe before injection) is not recommended when administering enoxaparin. This could cause bruising.

Choice Brationale:

You should not massage the site following the injection as this could cause bruising.

Choice Crationale:

With enoxaparin and other low molecular weight heparins, you do not need to expel the air bubble before injecting the medication. The air bubble ensures that all the medication is delivered.

Choice D rationale:

Enoxaparin should be injected into abdominal tissue. This helps ensure proper absorption and reduces the risk of bruising.