A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep.

Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?

The patient enjoys eating aged cheeses.

The patient takes medication upon rising.

The patient reports frequent dryness in the mouth.

The patient soaks in a warm bath at night.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While aged cheeses can interact with certain medications, they are not known to interact with tricyclic antidepressants or to have a significant impact on sleep patterns.

Choice B rationale

The timing of medication administration can significantly impact sleep patterns. If the patient is taking their medication upon rising, it could potentially be interfering with their sleep.

Choice C rationale

Dry mouth is a common side effect of tricyclic antidepressants. However, it is not typically associated with early morning awakening or difficulty returning to sleep.

Choice D rationale

Soaking in a warm bath at night can actually help promote sleep by raising the body’s core temperature and then allowing it to drop, which can trigger feelings of sleepiness.

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Correct Answer is A

Explanation

Benztropine is used as an adjunct therapy for the treatment of all forms of Parkinson’s disease3. It works by reducing the activity of acetylcholine, a neurotransmitter that nerve terminals release to make muscles contract3. One of the side effects of benztropine is dry mouth3. If a patient reports having a very dry mouth, the practical nurse should administer the scheduled medication and provide oral care to help alleviate the symptom3.

A. Wear protective clothing when in direct sunlight. B. Suck on hard candy to increase oral secretions. C. Drink 8 ounces (240 mL) of mineral water with each dose. D. Lay supine for 30 minutes after taking the medication. E. None F. None

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

Wearing protective clothing when in direct sunlight is not specifically related to taking alendronate. This advice is more relevant for medications that increase photosensitivity, which is not a known side effect of alendronate.

Choice B rationale:

Sucking on hard candy to increase oral secretions is not necessary for patients taking alendronate. This advice is typically given to patients experiencing dry mouth, which is not a common side effect of alendronate.

Choice C rationale:

Drinking 8 ounces (240 mL) of water with each dose of alendronate is crucial. This helps ensure the medication reaches the stomach quickly and reduces the risk of esophageal irritation or ulcers.

Choice D rationale:

Laying supine for 30 minutes after taking alendronate is incorrect. Patients should remain upright (sitting or standing) for at least 30 minutes after taking the medication to prevent esophageal irritation and ensure the medication reaches the stomach properly.

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A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep. Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is preparing to administer a scheduled dose of benztropine to a client with Parkinson’s disease. The client reports having a very dry mouth. Which action should the PN take?

Correct Answer is A

Explanation

A patient with Paget’s disease has been prescribed alendronate. What information should the practical nurse (PN) emphasize to the patient?

Correct Answer is C

Explanation

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A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep.

Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?