A nurse is teaching a client who has a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching?
"You may experience a decrease in your blood pressure while taking this medication."
“You may experience weight loss while taking this medication.”
"You may experience diarrhea while taking this medication."
"You may experience insomnia if you take this medication later in the day.”
The Correct Answer is D
A. "You may experience a decrease in your blood pressure while taking this medication.": Orthostatic hypotension is a possible side effect, but it's not as common or specific as sedation-related concerns for this medication.
B. "You may experience weight loss while taking this medication.": Doxepin, a tricyclic antidepressant, is more commonly associated with weight gain due to increased appetite, not weight loss.
C. "You may experience diarrhea while taking this medication.": Doxepin is more likely to cause constipation rather than diarrhea due to its anticholinergic effects.
D. "You may experience insomnia if you take this medication later in the day.": Doxepin has sedative properties. Taking it late in the day can disrupt the natural sleep-wake cycle, paradoxically leading to sleep disturbances or difficulty initiating restful sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fish: Fish, especially fatty types like salmon or mackerel, are rich in omega-3 fatty acids, which can help lower blood pressure and reduce cardiovascular risk. Including fish in the diet supports heart health and aligns with hypertension management guidelines.
B. Cheese: Many types of cheese are high in sodium, which can contribute to increased blood pressure. Clients with hypertension are advised to limit sodium intake, making cheese a less ideal option.
C. Canned black beans: While black beans are a good source of fiber and protein, canned versions often contain high amounts of sodium. If used, they should be rinsed thoroughly or replaced with dried beans to lower sodium content.
D. Red meat: Red meat, particularly when processed or fatty, is high in saturated fat and can raise blood pressure and cholesterol levels. It is generally recommended that clients with hypertension limit their intake of red meat.
Correct Answer is C
Explanation
A. Use condoms with a petroleum-based lubricant: Petroleum-based lubricants can degrade latex condoms, increasing the risk of breakage and HIV transmission. Water- or silicone-based lubricants are recommended to preserve condom integrity.
B. Buy disposable dishes for daily use: HIV is not transmitted through casual contact such as sharing dishes or eating utensils. This practice is unnecessary and may contribute to stigma and isolation for individuals living with HIV.
C. Clean blood-contaminated surfaces with bleach: Bleach is effective in inactivating HIV on surfaces. A solution of 1:10 bleach to water is recommended for cleaning any area contaminated with blood or body fluids to reduce transmission risk.
D. Wash soiled clothes in cold water: Cold water is less effective at killing pathogens. Hot water and standard laundry detergent are recommended for properly cleaning clothing contaminated with blood or body fluids.
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