A nurse is teaching a client who has a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching?

A. Encourage the client to talk about his feelings: At a panic level of anxiety, the client’s ability to process information and communicate is significantly impaired, making it difficult to engage in meaningful conversation. This approach might increase frustration or agitation.
B. Use short sentences when communicating with the client: Using simple, clear, and concise sentences helps the client focus and understand instructions during a panic episode when cognitive processing is limited and overwhelmed.
C. Have the client journal about what is happening to him: Writing requires concentration and calm, which the client at a panic level of anxiety is unlikely to have, making journaling ineffective and potentially frustrating in this moment.
D. Tell the client to sit alone in a private place and reflect on the situation: Isolation during a panic attack can increase feelings of fear and abandonment. Providing supportive presence is more effective in helping the client regain control.

A. “Rise slowly when getting out of bed.": Furosemide is a loop diuretic that can cause orthostatic hypotension due to fluid loss. Teaching the client to rise slowly helps prevent dizziness and falls associated with sudden position changes.
B. "Eat foods that are high in sodium.": Sodium intake should be limited in clients with heart failure, as high sodium can worsen fluid retention and counteract the effects of diuretics like furosemide.
C. “Taking furosemide can cause you to be overhydrated.": Furosemide increases urine output and poses a risk of dehydration, not overhydration. Monitoring fluid balance is essential during treatment.
D. "Taking furosemide can cause your potassium levels to be high.": Furosemide can lead to hypokalemia (low potassium), not hyperkalemia. Clients may need potassium supplementation or dietary adjustments to prevent electrolyte imbalance.