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The PMHNP is assessing a 49-year-old male with a history of depression, post-traumatic stress
disorder (PTSD), alcoholism with malnutrition, diabetes mellitus type 2, and hypertension. His
physical assessment is unremarkable with the exception of peripheral edema bilaterally to his
lower extremities and a chief complaint of pain with numbness and tingling to each leg 5/10. The
PMHNP starts this patient on a low dose of doxepin (Sinequan). What is the next action that
must be taken by the PMHNP?
A. Orders liver function tests.
B. Educate the patient on avoiding grapefruits when taking this medication.
C. Encourage this patient to keep fluids to 1500 ml/day until the swelling subsides.
D. Order a BUN/Creatinine test
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SCIENCE
HEALTH SCIENCE
NURSING
NURS 6630
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