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 C
Explanation
A. Administering a PCA dose prior to dressing changes is appropriate for managing pain before potentially painful activities.
B. Ambulating with the PCA pump is acceptable, as long as the client is not disconnected and it does not interfere with the pump's function.
C. Requesting a partner to administer PCA doses is incorrect because only the patient should administer PCA doses to prevent overmedication and to ensure that the client is aware of their pain level.
D. Administering PCA doses as soon as pain returns is appropriate as long as the client follows the prescribed timing for PCA use.
Correct Answer is ["B","D","E"]
Explanation
A. Alopecia is not a common adverse effect of atorvastatin.
B. Elevated liver enzymes can occur with atorvastatin use and should be monitored.
C. Dry cough is not associated with atorvastatin, but it is a known side effect of ACE inhibitors.
D. Jaundice can indicate liver dysfunction, a potential side effect of atorvastatin, and should be reported.
E. Muscle weakness can be a sign of rhabdomyolysis, a serious adverse effect of atorvastatin.
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