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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 A

Explanation

A. Fever is one of the hallmark symptoms of serotonin syndrome, along with other signs such as agitation, confusion, rapid heart rate, dilated pupils, and sweating.

B. Tinnitus is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

C. Bruising is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

D. Rash is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

A. Decreased peripheral resistance. B. Increased contractility and heart rate. C. Relaxation of arterial and venous smooth muscle. D. Slowed heart rate and decreased contractility of the heart.

Correct Answer is D

Explanation

A. Beta-adrenergic blockers primarily work by decreasing heart rate and contractility rather than directly affecting peripheral resistance.

B. Beta-adrenergic blockers decrease contractility and heart rate, rather than increasing them.

C. Relaxation of arterial and venous smooth muscle is typically associated with calcium channel blockers, not beta-adrenergic blockers.

D. Beta-adrenergic blockers slow the heart rate and reduce the force of contraction of the heart muscle, reducing myocardial oxygen demand and helping to relieve angina symptoms.

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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 nurse is collecting data from a client who has been taking sertraline (Zoloft) for the past 2 weeks. Which of the following data collection findings should alert the nurse to the possibility that the client is developing serotonin syndrome?

Correct Answer is A

Explanation

In the treatment of angina, the mechanism of action of a beta-adrenergic blocker is:

Correct Answer is D

Explanation

Because HDL transports cholesterol for destructions and removes it from the body, it is considered “ ” cholesterol.

Lipoproteins transport lipids through the blood for utilization by tissues, storage in adipose tissue, or excretion by the

A nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for sildenafil (Viagra). The nurse knows that sildenafil is contraindicated due to an interaction with which of the following client's medications?

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The nurse informs the patient to remain well hydrated while taking lithium because dehydration can lead to:

A client has been prescribed diltiazem (Cardizem), and asks the nurse what type of drug this is. Which response by the nurse is most appropriate?

The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.)