A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep.
Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?
The patient enjoys eating aged cheeses.
The patient takes medication upon rising.
The patient reports frequent dryness in the mouth.
The patient soaks in a warm bath at night.
The Correct Answer is B
Choice A rationale
While aged cheeses can interact with certain medications, they are not known to interact with tricyclic antidepressants or to have a significant impact on sleep patterns.
Choice B rationale
The timing of medication administration can significantly impact sleep patterns. If the patient is taking their medication upon rising, it could potentially be interfering with their sleep.
Choice C rationale
Dry mouth is a common side effect of tricyclic antidepressants. However, it is not typically associated with early morning awakening or difficulty returning to sleep.
Choice D rationale
Soaking in a warm bath at night can actually help promote sleep by raising the body’s core temperature and then allowing it to drop, which can trigger feelings of sleepiness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Diminished urinary urgency is an expected outcome of oxybutynin treatment, as the
medication works by relaxing the muscles of the bladder.
Choice B rationale
Reduced urinary frequency is another expected outcome of oxybutynin treatment.
Choice C rationale
Decreased urinary output is not a typical effect of oxybutynin. In fact, oxybutynin is used to
manage symptoms of an overactive bladder, which include frequent urination. Therefore, if the
PN observes decreased urinary output, it could indicate a problem such as urinary retention,
which should be reported to the charge nurse.
Choice D rationale
Less frequent urinary incontinence is an expected outcome of oxybutynin treatment.
Correct Answer is ["1"]
Explanation
Step 1 is: Calculate the total amount of warfarin required. The healthcare provider has prescribed 7.5 mg of warfarin.
Step 2 is: Subtract the amount of warfarin already administered. The patient has already received 2 tablets, each containing 2.5 mg of warfarin, for a total of 5 mg.
Step 3 is: Calculate the additional amount of warfarin required. The total amount required (7.5 mg) minus the amount already administered (5 mg) equals 2.5 mg.
Step 4 is: Determine the number of additional tablets required. Since each tablet contains 2.5 mg of warfarin, the patient should receive 1 additional tablet.
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