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
While taking medication with meals can sometimes help prevent nausea, this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.
Choice B rationale
Staying upright for 30 minutes after taking medication can sometimes help prevent indigestion, but this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.
Choice C rationale
Increasing fluid intake can help loosen mucus or phlegm in the lungs, which is the primary purpose of an expectorant like guaifenesin. Therefore, this statement shows that the client has understood the instructions related to the use of the expectorant.
Choice D rationale
While it’s important to avoid combining certain medications due to potential interactions, there’s no specific interaction between guaifenesin and levothyroxine that would cause injury. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.
Correct Answer is D
Explanation
The correct answer is Choice D. Rationale:
Rivaroxaban is an anticoagulant medication used to treat and prevent blood clots. One of the common side effects of rivaroxaban is bruising. This occurs because rivaroxaban prevents blood clots by thinning the blood, which can lead to increased bleeding and bruising. If a patient on rivaroxaban presents with the appearance of bruising in arms and legs, it could indicate excessive bleeding, which is a serious side effect that should be reported immediately.
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