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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Noxium" is not a known medication for mood stabilization in bipolar disorder.
B. Valium and Librium are benzodiazepines commonly used for anxiety and are not typically used for mood stabilization in bipolar disorder.
D. Lithium is a mood stabilizer commonly used in the treatment of bipolar disorder to prevent or reduce the severity of manic and depressive episodes.
Correct Answer is D
Explanation
A. Organic nitrates, such as nitroglycerin, dilate (widen) veins and coronary arteries, leading to decreased preload and afterload, which helps relieve angina pain.
B. Constricting veins and coronary arteries would exacerbate angina symptoms by reducing blood flow to the heart muscle.
C. Dissolving veins and coronary arteries is not a mechanism of action for organic nitrates in the treatment of angina.
D. Dilating veins and coronary arteries is the primary mechanism of action for organic nitrates, resulting in increased blood flow to the heart muscle and relief of angina pain.
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