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 D
Explanation
Explanation:
A. Slow heart rate and difficulty standing are not typical characteristics of angina.
B. Sudden weakness with severe headache may indicate other medical conditions but is not characteristic of angina.
C. Difficulty breathing and increased temperature are not primary symptoms of angina.
D. Chest pain on physical exertion or emotional stress is the most appropriate characterization of angina.
Correct Answer is C
Explanation
A. Organic nitrates do not increase contractility and heart rate; they typically decrease myocardial oxygen demand.
B. Organic nitrates do not slow heart rate or decrease contractility of the heart.
C. The mechanism of action of organic nitrates in the treatment of angina is the relaxation of arterial and venous smooth muscle, leading to vasodilation and decreased myocardial oxygen demand.
D. Organic nitrates do not increase peripheral resistance; they typically cause vasodilation.
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