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?
"You may experience a decrease in your blood pressure while taking this medication."
“You may experience weight loss while taking this medication.”
"You may experience diarrhea while taking this medication."
"You may experience insomnia if you take this medication later in the day.”
The Correct Answer is D
A. "You may experience a decrease in your blood pressure while taking this medication.": Orthostatic hypotension is a possible side effect, but it's not as common or specific as sedation-related concerns for this medication.
B. "You may experience weight loss while taking this medication.": Doxepin, a tricyclic antidepressant, is more commonly associated with weight gain due to increased appetite, not weight loss.
C. "You may experience diarrhea while taking this medication.": Doxepin is more likely to cause constipation rather than diarrhea due to its anticholinergic effects.
D. "You may experience insomnia if you take this medication later in the day.": Doxepin has sedative properties. Taking it late in the day can disrupt the natural sleep-wake cycle, paradoxically leading to sleep disturbances or difficulty initiating restful sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Place the newborn in the prone position: The supine position is recommended for newborns to reduce the risk of sudden infant death syndrome (SIDS). Phototherapy does not change this guideline, and the baby should be placed on their back.
B. Offer glucose water after each feeding: Glucose water is not recommended as a supplement. Breast milk or formula provides sufficient nutrition and hydration. The focus should be on maintaining regular feedings to support bilirubin excretion.
C. Apply lotion to the newborn's exposed skin: Lotions and ointments should be avoided during phototherapy because they can cause skin irritation or even burns when exposed to the phototherapy lights.
D. Cover the newborn's eyes with a mask: The eyes must be protected during phototherapy to prevent retinal damage from the intense light exposure. A properly fitted eye mask should be used and checked regularly for correct placement.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}
Explanation
- Prepare the client for cardiac catheterization: This client is experiencing an ST-elevation myocardial infarction (STEMI), a medical emergency requiring reperfusion therapy. Preparing for cardiac catheterization aligns with standard emergency management to restore coronary blood flow.
- Administer morphine 2 mg IV bolus for persistent cardiac pain: Morphine is used to relieve chest pain unresponsive to nitrates and reduce myocardial oxygen demand by lowering preload and afterload. The client still reports severe pain (7/10), justifying its use.
- Administer aspirin 81 mg PO chewable tablet: Aspirin is a first-line treatment in acute coronary syndromes to inhibit platelet aggregation and limit thrombus formation. A chewable form provides quicker absorption and is routine for suspected MI.
- Prepare to intubate the client: The client is alert, oriented, has normal respiratory rates, and maintains adequate oxygen saturation (96–98% on room air). There is no evidence of respiratory failure or airway compromise to justify intubation.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.