The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:
"They may cause hypomania or recent memory impairment."
"Their full therapeutic potential may not be reached until 4 weeks."
"They should not be given with antianxiety agents."
"Strong or aged cheese should not be eaten while taking them."
The Correct Answer is B
B. Tricyclic antidepressants (TCAs) are known to take some time before their full therapeutic effects are realized, which can indeed be up to four weeks. This delay is due to the gradual changes they induce in the brain's biochemistry.
A. TCAs can cause a variety of side effects but hypomania and recent memory impairment are not typically associated with these medications.
C. TCAs do not have a known interaction with antianxiety agents that would prohibit their concurrent use.
D. The restriction on eating strong or aged cheese is associated with another class of antidepressants known as monoamine oxidase inhibitors (MAOIs), not TCAs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Impulsive individuals tend to act quickly without fully considering the consequences of their actions. There is often little to no delay between the thought or impulse and the resulting behavior.
A. Individuals who are impulsive tend to have difficulty delaying gratification and may act on immediate impulses without considering long-term consequences.
C. Impulsivity is not necessarily related to moral behavior. While impulsive individuals may sometimes engage in behaviors that conflict with their moral code, impulsivity itself does not indicate adherence or lack thereof to a moral code.
D. Impulsivity is more about acting quickly without forethought rather than deliberately manipulating or controlling situations.
Correct Answer is B
Explanation
B. The combination of paroxetine and St. John's Wort can lead to a potentially life-threatening condition known as serotonin syndrome. It is important for healthcare providers to be aware of potential drug interactions and to monitor patients closely when changes to their medication regimen occur.
A. Using a heating pad may provide temporary relief for muscle stiffness but does not address the underlying cause of the symptoms.
C. Given the symptoms described, involving an orthopedic doctor is not appropriate as the symptoms are not related to musculoskeletal issues.
D. A clear liquid diet and bed rest do not address the underlying issue in the client hence not an appropriate action.
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