The nurse is providing education via phone to a client who called stating that the newly prescribed imipramine (Tofranil) is not working as depression is still a problem. Which question is most important to ask first?
A) "Are you feeling worse since taking the medication?"
B) "How long have you been taking the medication?"
C) "What time of day are you taking the medication?"
D) "What dosage of medication are you taking?"
B
Feedback:
When a client states that the newly prescribed medication is not working as depression is still a problem, the nurse's next question is to ask how long he or she has been taking the medication. The nurse is correct to realize that one disadvantage of cyclic antidepressants is the lag time between initiation of drug therapy and relief of depressive symptoms. Nursing instruction includes maintaining the medication for at least a month before medication adjustments are made. Confirming the other questions is appropriate.
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