A nurse is monitoring a client who is receiving morphine IV and amitriptyline PO. Which of the following findings indicates an adverse interaction between the prescribed medications?
Urinary retention
Diarrhea
Low-grade fever
Tachypnea
The Correct Answer is A
A. Urinary retention can occur as an adverse effect of both morphine (opioid) and amitriptyline (anticholinergic), which can lead to difficulty urinating.
B. Diarrhea is not a common interaction between morphine and amitriptyline. In fact, morphine often causes constipation.
C. Low-grade fever is not a known adverse interaction between these two drugs.
D. Tachypnea is not a typical adverse effect of the combination of morphine and amitriptyline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. At a rate of 100 mL/hr, a 1,000 mL bag will infuse over 10 hours. Starting at 0700, the infusion will complete at 1700, but the nurse typically hangs a new bag 1 hour before completion to avoid delays. 1300 is 6 hours in, leaving 400 mL; it allows enough time to prepare and change bags proactively.
B. 1100 is too early.
C. 1700 is too late – the bag would be empty by then.
D. 2200 is unrelated to the infusion timeline.
Correct Answer is D
Explanation
A. Raloxifene is not used to treat hypothyroidism.
B. It does not have antimicrobial effects and is not used for UTIs.
C. It is contraindicated in active DVT due to risk of thromboembolic events.
D. Raloxifene is a selective estrogen receptor modulator (SERM) used to prevent and treat osteoporosis in postmenopausal women.
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