A patient diagnosed with depression is receiving imipramine (Tofranil) 200 mg qhs. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?
a. Dry mouth
b. Blurred vision
c. Nasal congestion
d. Urinary retention
ANS: D
All the side effects mentioned are the result of the anticholinergic effects of the drug. Only urinary retention and severe constipation warrant immediate medical attention. Dry mouth, blurred vision, and nasal congestion may be less troublesome as therapy continues.
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Rick has male pattern baldness on the vertex of his head and has been using Rogaine for 2 months. He asks how effective minoxidil (Rogaine) is. Minoxidil:
1. Provides a permanent solution to male pattern baldness if used for at least 4 months 2. Will show results after 4 months of twice-a-day use 3. May not work for Rick's type of baldness 4. Works better if he also uses hydrocortisone cream daily on his scalp
Annie has been diagnosed as having dysthymic depression. The nurse knows that symptoms of this disorder include: (SELECT ALL ANSWERS THAT APPLY)
A) A depressed mood that lasts for most of each day over a 2-year period. B) Anhedonia C) Hallucinations D) Difficulty in making decisions E) Periods of euphoria F) Sleep pattern disturbances
Planned change is a purposeful, systematic effort to alter or bring about change. What occurs next after alternative solutions to a problem are determined and analyzed?
A) All of the alternative solutions are implemented. B) A course of action is chosen from among the alternatives. C) The effects of the change are evaluated. D) The change is stabilized and established.
A client diagnosed with sickle-cell anemia is experiencing vaso-occlusive crisis. Which of the following interventions would be appropriate for this client? (Select all that apply.)
1. Administering oxygen 2. Decreasing hydration 3. Managing pain 4. Promoting activity 5. Encouraging rest 6. Restricting calories