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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Montelukast does not increase the production of mucus in the lungs. In fact, it helps to reduce inflammation and may be used to prevent asthma attacks.
Choice B rationale
Montelukast is a leukotriene modifier that helps to reduce inflammation and prevent asthma attacks and exercise-induced bronchoconstriction. It works by blocking the action of leukotriene D4 in the lungs resulting in decreased inflammation and relaxation of smooth muscle. This prophylactic limitation of the inflammatory response to allergens is a key function of montelukast.
Choice C rationale
Montelukast does not contract the smooth muscles located in the respiratory tract. Instead, it helps to relax the smooth muscles in the lungs, reducing inflammation and making it easier to breathe.
Choice D rationale
Montelukast does not directly repair damaged tissue in the base of the lungs. Its primary function is to prevent and manage symptoms of asthma and allergies by reducing inflammation in the airways.
Correct Answer is A
Explanation
Choice A rationale
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and reduce
inflammation. It is not typically part of the H. pylori treatment regimen.
Choice B rationale
Famotidine is a type of medication called a proton pump inhibitor (PPI). PPIs are often used in
the treatment of H. pylori because they reduce the production of stomach acid, which makes
the environment more conducive for antibiotics to work.
Choice C rationale
Loperamide is a medication used to treat diarrhea. It is not typically part of the H. pylori
treatment regimen.
Choice D rationale
Ipratropium is a medication used to treat bronchospasm associated with COPD and is not
related to H. pylori treatment.
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