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The patient on methylphenidate (Ritalin) should be assessed for:

Signs of weight loss

Renal toxicity

Hypotension

Extreme euphoria and insomnia

Answer and Explanation

The Correct Answer is A

A. Weight loss is a common side effect of methylphenidate (Ritalin) and should be monitored during treatment.

B. Methylphenidate is not typically associated with renal toxicity.

C. Methylphenidate can cause increases in blood pressure and heart rate, not hypotension.

D. Extreme euphoria and insomnia may indicate overstimulation or inappropriate dosing but are not typical side effects of methylphenidate.

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Free Nursing Study Resources

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.

A. Chew sugarless gum to prevent dry mouth B. Expect therapeutic effects in 24 to 48 hours C. Decrease dietary fiber intake to control diarrhea D. Discontinue the medication after a week of improved mood E. Change positions slowly to minimize dizziness

Correct Answer is ["A","E"]

Explanation

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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The patient on methylphenidate (Ritalin) should be assessed for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

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)

Correct Answer is ["A","E"]

Explanation

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