Nokea
The nurse is providing medication instructions to a client who is prescribed imipramine daily. Which statement by the client indicates a need for further teaching?
- A. I need to avoid alcohol while taking the medication.
- B. I need to take the medication in the morning before breakfast.
- C. The effects of the medication may not be noticed for at least 2 weeks.
- D. A missed dose should be taken as soon as possible unless it is almost time for the next dose.
Correct Answer: B
Rationale: Imipramine is a tricyclic antidepressant (TCA). The client should be instructed to take the medication (a single dose) at bedtime and not in the morning because it causes fatigue and drowsiness. The client is told to avoid alcohol or other central nervous system depressants during therapy and that medication effects may not be noticed for at least 2 weeks. The client is instructed to take the medication exactly as directed, and if a dose is missed, to take it as soon as possible unless it is almost time for the next dose.
You may also like to solve these questions
The nurse is teaching a client with a new ileostomy about dietary modifications. Which food should be avoided?
- A. Rice.
- B. Corn.
- C. Bananas.
- D. Yogurt.
Correct Answer: B
Rationale: Corn is high in fiber and hard to digest, which can cause blockages in a new ileostomy.
Your pregnant client has a new order for a medication. What principle should you apply to this new medication?
- A. The fact that drugs classified as categories C, D and X are contraindicated for women who are pregnant.
- B. The fact that drugs classified as categories A, B and C are contraindicated for women who are pregnant.
- C. The fact that drugs classified as categories C, D and E are contraindicated for women who are pregnant.
- D. The fact that drugs classified as categories C, D and Z are contraindicated for women who are pregnant.
Correct Answer: A
Rationale: Drugs in FDA pregnancy categories C, D, and X carry risks (potential harm, known harm, or absolute contraindication, respectively) and are generally contraindicated in pregnancy unless benefits outweigh risks.
The nurse has given client directions for the proper use of aluminum hydroxide tablets. The client indicates an understanding of the medication when which statement is made?
- A. I should take the tablet at the same time as an antacid.
- B. I should swallow the tablet whole with a full glass of water.
- C. I should take each dose with a laxative to prevent constipation.
- D. I should chew the tablet thoroughly and then drink 4 ounces of water.
Correct Answer: D
Rationale: Aluminum hydroxide tablets should be chewed thoroughly before swallowing. This prevents them from entering the small intestine undissolved. They should not be swallowed whole. Antacids should be taken at least 2 hours apart from other medications to prevent interactive effects. Constipation is a side effect of aluminum products, but the client should not take a laxative with each dose. This promotes laxative abuse. The client should first try other means to prevent constipation.
The nurse should plan to teach a client who is taking warfarin sodium (Coumadin) to do which of the following?
- A. Consult the physician before undergoing dental work.
- B. Avoid the use of a toothbrush during oral hygiene.
- C. Use rectal suppositories to treat constipation.
- D. Eat green leafy vegetables.
Correct Answer: A
Rationale: Warfarin increases bleeding risk, so consulting a physician before dental work is essential to manage anticoagulation.
A 12-year-old boy is admitted due to depression and post-trauma response. Child Protective Services reports that the boy's father is now in jail for molesting him from ages 6 to 9. Given the typical reactions of incest victims, the nurse should assess the child for which behavior? Select all that apply.
- A. Sexualized play.
- B. Aggression.
- C. Isolation at home.
- D. Running away.
- E. Truancy.
Correct Answer: A, B, C, D, E
Rationale: Incest victims may exhibit sexualized play, aggression, isolation, running away, and truancy as coping mechanisms or trauma responses.