The nurse is caring for a client who is taking tricyclic antidepressants. Which statement by the client indicates that the medication is working properly?

  1. “I haven’t felt like going to work this week.”
  2. “I’ve joined a bridge club in my neighborhood.”
  3. “I sleep 12 hours a night and take a nap during the day.”
  4. “I have felt my heart racing since I started the medicine.”
Number 2 is correct.
Rationale: Improvement in mood and an interest in outside activities or hobbies indicate that the client is responding positively to the medication. Depressed individuals often sleep a lot and skip work or school because they don’t feel like doing anything. Tachycardia is a side effect of the medication and should be followed up to determine if another medication or dose is more suitable for this client.