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.
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Related Questions
Correct Answer is D
Explanation
A. Sodium is not directly related to the effectiveness of epoetin alfa, which stimulates red blood cell production.
B. WBC count is not the primary marker for evaluating epoetin alfa therapy.
C. Glucose is not a key indicator of epoetin alfa effectiveness.
D. Hemoglobin is the key indicator because epoetin alfa is used to stimulate red blood cell production in clients with anemia due to chronic renal failure. The goal is to increase hemoglobin levels.
Correct Answer is C
Explanation
A. Decrease in blood pressure is not a positive indicator in this case; an increase in blood pressure is desired with effective treatment.
B. An increase in heart rate typically indicates dehydration or fluid deficit, not improvement.
C. An increase in urine output is a positive sign of fluid balance restoration. It shows the kidneys are functioning effectively with sufficient hydration.
D. Dependent edema might not decrease immediately, and its presence may not indicate the fluid therapy's effectiveness.
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