What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?

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Question 1 of 5

What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?

Correct Answer: B

Rationale: Alcohol potentiates CNS depression with tricyclics, increasing toxicity risk.

Question 2 of 5

A client with bi-polar disorder is taking lithium (Lithane). What should the nurse emphasize when teaching about this medication?

Correct Answer: B

Rationale: Sodium depletion increases lithium toxicity; consistent salt intake is critical.

Question 3 of 5

The nurse is teaching a child and the family about the medication phenytoin (Dilantin) prescribed for seizure control. Which of the following side effects is most likely to occur?

Correct Answer: C

Rationale: Gingival hyperplasia is a common, long-term side effect of phenytoin, especially in children.

Question 4 of 5

The health care provider has written 'Morphine sulfate 2 mgs IV every 3-4 hours prn for pain' on the chart of a child weighing 22 lb. (10 kg). What is the nurse's initial action?

Correct Answer: B

Rationale: Dose is potentially unsafe (low for weight); provider clarification is needed.

Question 5 of 5

While giving care to a 2 year-old client, the nurse should remember that the toddler's tendency to say 'no' to almost everything is an indication of what psychosocial skill?

Correct Answer: D

Rationale: Saying 'no' reflects autonomy development (Erikson's stage), a normal toddler milestone.

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