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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 C

Explanation

A. Verapamil is a calcium channel blocker, not a beta blocker.

B. Captopril is an angiotensin-converting enzyme (ACE) inhibitor, not a beta blocker.

C. Atenolol is a beta blocker commonly used to treat hypertension, angina, and other cardiovascular conditions.

D. Clopidogrel is an antiplatelet medication used to prevent blood clots, not a beta blocker.

A. Slow heart rate and difficulty standing B. Chest pain on physical exertion or emotional stress C. Sudden weakness with severe headache D. Difficulty breathing and increased temperature

Correct Answer is B

Explanation

A. Slow heart rate and difficulty standing are not typical symptoms of angina.

B. Chest pain that occurs on physical exertion or emotional stress is the classic symptom of angina, caused by reduced blood flow to the heart muscle.

C. Sudden weakness with a severe headache could suggest other medical issues such as a stroke, not angina.

D. Difficulty breathing and increased temperature are not specific to angina and could indicate other health problems like infection or respiratory issues.

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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

A client has been prescribed several medications. Which medication is a beta blocker?

Correct Answer is C

Explanation

The nurse is describing angina to a family member of a client recently diagnosed with the condition. Which characterization of angina is the most appropriate?

Correct Answer is B

Explanation

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