Difficulty: Medium
Average Score: 69%
Simulated
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
A,E
Rationale
Correct Answer: A, E
Rationale:
A: Chewing sugarless gum helps prevent dry mouth, a common side effect of imipramine.
E: Changing positions slowly can help minimize dizziness, another common side effect of imipramine.
Incorrect choices:
B: Therapeutic effects of imipramine usually take 2-4 weeks, not 24-48 hours.
C: Increasing, not decreasing, dietary fiber intake is recommended to prevent constipation, not diarrhea.
D: Discontinuing imipramine suddenly can lead to withdrawal symptoms and relapse of depression.
Rationale:
A: Chewing sugarless gum helps prevent dry mouth, a common side effect of imipramine.
E: Changing positions slowly can help minimize dizziness, another common side effect of imipramine.
Incorrect choices:
B: Therapeutic effects of imipramine usually take 2-4 weeks, not 24-48 hours.
C: Increasing, not decreasing, dietary fiber intake is recommended to prevent constipation, not diarrhea.
D: Discontinuing imipramine suddenly can lead to withdrawal symptoms and relapse of depression.