A Patient Being Treated for Major Depressive Disorder Has Taken

question 24

Multiple Choice

A patient being treated for major depressive disorder has taken 300 mg amitriptyline (Elavil) daily for a year. The patient calls the case manager at the clinic and says, "I stopped taking my antidepressant 2 days ago. Now I am having cold sweats, nausea, a rapid heartbeat, and nightmares." The nurse should advise the patient:

• A) "Go to the nearest emergency department immediately."
• B) "Do not to be alarmed. Take two aspirin and drink plenty of fluids."
• C) "Take one dose of the antidepressant. Come to the clinic to see the health care provider."
• D) "Resume taking the antidepressant for 2 more weeks, and then discontinue it again."

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