Question

A client has been severely depressed since her husband died 6 months ago. Her physician prescribes amitriptyline (Elavil), 50 mg by mouth daily. Before administering amitriptyline, the nurse reviews the client's medical history. Which preexisting condition would require cautious use of this drug?

1. Hiatal hernia
2. Hypernatremia
3. Hepatic disease
4. Hypokalemia

Answer 1

The preexisting condition that would require cautious use of amitriptyline (Elavil) is hepatic disease.

Step-by-step explanation:

Before administering amitriptyline (Elavil), the nurse should review the client's medical history to identify any preexisting conditions that would require cautious use of this drug.

Out of the given options, hepatic disease would require cautious use of amitriptyline. Hepatic disease refers to any condition affecting the liver, which plays a crucial role in metabolizing drugs, including amitriptyline. With hepatic disease, the liver's ability to process drugs may be compromised, leading to potential accumulation of amitriptyline and increased risk of adverse effects.

Therefore, the nurse should exercise caution and closely monitor the client with hepatic disease when administering amitriptyline, adjusting the dosage if necessary to avoid any potential complications.