A nurse is reinforcing teaching to a client who has a new prescription for imipramine (Tofranil) for treatment of depression. Which of the following should the nurse reinforce in the teaching? (Select all that apply)
Chew sugarless gum to prevent dry mouth
Expect therapeutic effects in 24 to 48 hours
Decrease dietary fiber intake to control diarrhea
Discontinue the medication after a week of improved mood
Change positions slowly to minimize dizziness
Correct Answer : A,E
Explanation:
A. Imipramine commonly causes dry mouth as a side effect, so chewing sugarless gum can help alleviate this symptom.
B. Therapeutic effects of imipramine may not be felt until after several weeks of treatment, rather than within 24 to 48 hours.
C. Increasing dietary fiber intake can help alleviate constipation, a common side effect of imipramine, rather than decreasing it.
D. Discontinuing antidepressant medication abruptly, especially after a short period, can lead to withdrawal symptoms and a recurrence of depressive symptoms.
E. Imipramine can cause orthostatic hypotension, leading to dizziness upon standing, so changing positions slowly can help minimize this risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lithium toxicity can occur if the patient becomes dehydrated while taking lithium, as dehydration can lead to higher concentrations of lithium in the blood.
B. Increased effectiveness is not a consequence of dehydration while taking lithium.
C. Dehydration would not typically lead to the need to increase the lithium dosage but rather to the risk of toxicity.
D. Dehydration can lead to higher, not lower, serum lithium levels, increasing the risk of toxicity.
Correct Answer is ["A","C"]
Explanation
A. Feelings of despair or hopelessness are common symptoms of depression, reflecting a persistent low mood.
B. Increased energy is not typically associated with depression; instead, individuals with depression often experience fatigue or loss of energy.
C. Sleep disturbances, such as insomnia or hypersomnia, are common symptoms of depression, affecting both the ability to fall asleep and stay asleep.
D. Euphoria, or a feeling of intense happiness or excitement, is not typically associated with depression and may indicate a different mood disorder, such as bipolar disorder.
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