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    ATI RN Capstone Pharmacology Proctored Exam 2

    A nurse is providing teaching to a client who has neuropathic pain and a new prescription for amitriptyline once per day.Which of the following information should the nurse include in the teaching?

    Explanation & Rationale

    Choice A rationaleIncreasing fluid intake helps counteract the anticholinergic effects of amitriptyline, such as dry mouth and constipation, by maintaining adequate hydration and promoting gastrointestinal motility.Choice B rationaleAmitriptyline commonly causes orthostatic hypotension rather than an elevation in blood pressure, particularly in the initial stages of treatment.Choice C rationaleOrange urine discoloration is not a typical side effect of amitriptyline and does not necessitate stopping the medication; it is not a common adverse effect.Choice D rationaleTaking amitriptyline in the morning is not recommended due to its sedative effects, which can cause daytime drowsiness and impair daily activities; it is better taken at bedtime. .

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