Which statement is priority teaching at the time of discharge for the client who receives imipramine (Tofranil)?
1. "You will need to maintain a low-fat diet while on this medication."
2. "You must maintain a normal intake of salt while on this medication."
3. "Please notify your health care provider of any changes in urine quantity or quality."
4. "You can stop the medication when you are no longer feeling depressed."
Correct Answer: 3
Rationale 1: "You will need to maintain a low-fat diet while on this medication" is incorrect because a low-fat diet, although healthy, has no impact on the effectiveness of the medication.
Rationale 2: "You must maintain a normal intake of salt while on this medication" is incorrect because salt intake affects lithium, not tricyclic antidepressants.
Rationale 3: Urinary retention is a serious side effect of tricyclic antidepressants, and must be reported to the health care provider.
Rationale 4: "You can stop the medication when you are no longer feeling depressed" is incorrect because depressed clients should not stop their antidepressant medication just because they no longer feel depressed.
Global Rationale: Urinary retention is a serious side effect of tricyclic antidepressants, and must be reported to the health care provider. "You will need to maintain a low-fat diet while on this medication" is incorrect because a low-fat diet, although healthy, has no impact of the effectiveness of the medication. "You must maintain a normal intake of salt while on this medication" is incorrect because salt intake affects lithium, not tricyclic antidepressants. "You can stop the medication when you are no longer feeling depressed" is incorrect because depressed clients should not stop their antidepressant medication just because they no longer feel depressed.
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