An Adolescent Takes Ibuprofen, Acetaminophen, and a Tricyclic Antidepressant (TCA)

An adolescent takes ibuprofen, acetaminophen, and a tricyclic antidepressant (TCA) to treat phantom limb pain and reports that the medications are no longer effective. What will the primary care pediatric nurse practitioner do?

A) Change the TCA to a selective serotonin reuptake inhibitor.
B) Evaluate the adolescent for drug-seeking behavior.
C) Increase the TCA dose and reevaluate in 2 to 3 weeks.
D) Refer the adolescent to a pain management specialist.