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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation:
A. Adequate hydration is important to prevent lithium toxicity; decreasing fluid intake is not recommended.
B. Constipation can slow the excretion of lithium and may increase the risk of toxicity, but it is not the most appropriate preventive measure.
C. Sudden changes in sodium intake can affect lithium levels, so restricting sodium-rich foods without medical advice is not advisable.
D. Clients should be cautious with physical activity in hot weather, as excessive sweating can lead to dehydration, increasing the risk of lithium toxicity.
Correct Answer is ["A","C"]
Explanation
A. Feelings of despair or hopelessness are common symptoms of depression, reflecting a persistent low mood.
B. Increased energy is not typically associated with depression; instead, individuals with depression often experience fatigue or loss of energy.
C. Sleep disturbances, such as insomnia or hypersomnia, are common symptoms of depression, affecting both the ability to fall asleep and stay asleep.
D. Euphoria, or a feeling of intense happiness or excitement, is not typically associated with depression and may indicate a different mood disorder, such as bipolar disorder.
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