A depressed patient is receiving imipramine (Tofranil) 300 mg ...

[abarnes]

A depressed patient is receiving imipramine (Tofranil) 300 mg daily. Which side effect requires seeking medical attention?
 
  a. Dry mouth
  b. Blurred vision
  c. Nasal congestion
  d. Urinary retention

Question 2

An interdisciplinary health care team met 12 hours after an adolescent was hospitalized following a suicide attempt. What result can be expected from this meeting?
 
  a. A treatment plan will be determined.
  b. The nurse will assume the surrogate parent role.
  c. The need for placement outside the home will be assessed.
  d. The team will request a court-appointed advocate for the patient.

[Alyson.hiatt@yahoo.com]

Answer to Question 1

D
All the side effects mentioned are the result of the anticholinergic effects of the drug. Of these, only urinary retention warrants immediate medical attention. Dry mouth, blurred vision, and nasal congestion do not usually develop into serious medical concerns. However, urinary retention can lead to medical complications and intense pain, can be reduced via medication and other interventions, and requires prompt medical intervention.

Answer to Question 2

A
Treatment plans are formulated early in the course of treatment to streamline the treatment process and reduce costs. It would be too early to determine the need for alternative post-discharge living arrangements.

[abarnes]

Thanks for the timely response, appreciate it

[nyrave]

Excellent