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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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Eggs are not typically restricted while taking phenelzine (Nardil).

B. Onions are not typically restricted while taking phenelzine (Nardil).

C. Apples are not typically restricted while taking phenelzine (Nardil).

D. Aged cheeses contain tyramine, which can interact with monoamine oxidase inhibitors like phenelzine (Nardil) and potentially lead to hypertensive crisis.

A. “The greater the amount of cholesterol circulating in the blood, the greater the risk of cardiovascular disease." B. "My diet does not need to be changed to help control my cardiovascular risk C. “There is no link between cardiovascular disease and cholesterol levels." D. “The only people at risk for high cholesterol are those with a family history."

Correct Answer is A

Explanation

Explanation:

A. This statement accurately reflects the relationship between high cholesterol levels and cardiovascular disease risk.

B. This statement is incorrect; dietary modifications are often recommended to help control cardiovascular risk, including reducing cholesterol intake.

C. This statement is incorrect; high cholesterol levels are a well-established risk factor for cardiovascular disease.

D. This statement is incorrect; while family history can predispose individuals to high cholesterol, anyone can develop high cholesterol and be at risk for cardiovascular disease.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is taking phenelzine (Nardil). The nurse teaches her to avoid eating:

Correct Answer is D

Explanation

Which client statement demonstrates understanding of the link between cardiovascular disease and high cholesterol?

Correct Answer is A

Explanation

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