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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Dizziness is a common side effect of nitroglycerin due to its vasodilatory effects.
B. Hyponatremia and hyperkalemia are not typically associated with nitroglycerin use.
C. Hyponatremia is not typically associated with nitroglycerin use.
D. Hypotension is a common side effect of nitroglycerin due to its vasodilatory effects.
E. Reflex tachycardia, or an increase in heart rate, can occur as a compensatory response to the drop in blood pressure caused by nitroglycerin.
Correct Answer is ["B","C","D"]
Explanation
A. While medication may be necessary for some individuals with high lipid levels, lifestyle modifications should be attempted first.
B. Smoking cessation can help improve lipid profiles and overall cardiovascular health.
C. Increased exercise can help lower lipid levels and improve cardiovascular health.
D. Restricting dietary cholesterol can help lower blood lipid levels.
E. Unsaturated fats, particularly monounsaturated and polyunsaturated fats, are actually beneficial for heart health and should not be restricted.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today