Nokea
Imipramine (Tofranil), 75 mg three times per day, is prescribed for a client. What nursing action is appropriate when administering this medication?
- A. Tell the client that barbiturates and steroids will not be prescribed.
- B. Warn the client not to eat cheese, fermenting products, and chicken liver.
- C. Monitor the client for increased tolerance and report if the dosage is no longer effective.
- D. Have the client checked for increased intraocular pressure and teach about symptoms of glaucoma.
Correct Answer: D
Rationale: Imipramine (a tricyclic) can increase intraocular pressure , a key monitoring point.
You may also like to solve these questions
A male client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only effective treatment for alcoholism is:
- A. Psychotherapy
- B. Total abstinence
- C. Alcoholics Anonymous (AA)
- D. Aversion therapy
Correct Answer: B
Rationale: Total abstinence is the only effective treatment for alcoholism. Psychotherapy, attendance at AA meetings, and aversion therapy are all adjunctive therapies that can support the client in his efforts to abstain.
A nurse is teaching clients about dietary restrictions when taking a monoamine oxidase inhibitor (MAOI). What response does the nurse tell them to anticipate if they do not follow these restrictions?
- A. Occipital headaches
- B. Generalized urticaria
- C. Severe muscle spasms
- D. Sudden drop in blood pressure
Correct Answer: A
Rationale: MAOI-tyramine interactions cause hypertensive crises, often with occipital headaches .
A physician is admitted to the psychiatric unit of a community hospital. The client, who was restless, loud, aggressive, and resistive during the admission procedure, states, 'I will take my own blood pressure.' What is the nurse's most therapeutic response?
- A. Right now you are just another client.'
- B. If you would rather, I'm sure you will do it correctly.'
- C. I will get the attendants to assist me if you do not cooperate.'
- D. I am sorry, but I cannot allow that because I must take your blood pressure.'
Correct Answer: D
Rationale: D maintains professional boundaries therapeutically, ensuring nurse responsibility without confrontation.
To evaluate whether patient teaching for coping skills has been effective, the psychiatric-mental health nurse asks an adolescent patient to:
- A. consider the outcomes objectively.
- B. keep a written journal.
- C. perform a return demonstration.
- D. set measurable goals.
Correct Answer: C
Rationale: A return demonstration allows the nurse to directly assess the patient's ability to apply coping skills.
A 16-year-old female patient who is Chinese American is admitted to the unit with reports of sadness and suicidal ideation. The patient is accompanied by many family members, including her mother and father. The patient and her family emigrated from mainland China five years ago. Regarding the family, the psychiatric-mental health nurse:
- A. encourages the patient to communicate her need for privacy to her family.
- B. gently asks the family members to leave the room.
- C. privately asks the mother for her assistance in clearing the room.
- D. provides care for the patient while the family members are present.
Correct Answer: C
Rationale: Privately engaging the mother respects cultural family dynamics while facilitating a therapeutic environment for the patient.