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 B
Explanation
A. Naproxen does not typically interact with sildenafil.
B. Sildenafil interacts with nitrates such as isosorbide, leading to severe hypotension, making it contraindicated in patients taking nitrates.
C. Metformin does not typically interact with sildenafil.
D. Cefuroxime does not typically interact with sildenafil.
Correct Answer is ["C","D"]
Explanation
A. Green beans and bananas do not contain high amounts of omega-3 fatty acids.
B. Bananas do not contain significant amounts of omega-3 fatty acids.
C. Flax seeds are a rich source of alpha-linolenic acid (ALA), a type of omega-3 fatty acid.
D. Salmon is a fatty fish rich in omega-3 fatty acids, particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).
E. Sunflower seeds are not a significant source of omega-3 fatty acids; they are higher in omega-6 fatty acids.
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