Author Question: A client diagnosed with depression has been placed on imipramine (Tofranil). What would the nurse ... (Read 59 times)

ahriuashd · **on:** Jul 23, 2018

A client diagnosed with depression has been placed on imipramine (Tofranil). What would the nurse most likely assess if the client experiences adverse effects of this medication?

1. Various anemias accompanied by bradycardia
2. Hypertension with severe emesis
3. Dizziness accompanied by possible photosensitivity
4. Polyuria with gross proteinuria

Question 2

Which medication, when administered with lithium, increases the risk of toxicity?

1. Lomefloxacin
2. Sodium bicarbonate
3. Calcium iodine
4. Furosemide

Jevvish · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Anemia and bradycardia are not adverse effects of this drug.
Rationale 2: Hypertension is not an adverse effect of this medication.
Rationale 3: The most common adverse effects of imipramine include dizziness and, to a lesser extent, photosensitivity.
Rationale 4: Polyuria is not an adverse effect of this medication.
Global Rationale: The most common adverse effects of imipramine include dizziness and, to a lesser extent, photosensitivity. Anemia, bradycardia, hypertension, and polyuria are not adverse effects of this drug.

Answer to Question 2

Correct Answer: 4
Rationale 1: Lomefloxacin does not increase the risk of toxicity if taken with lithium.
Rationale 2: Sodium bicarbonate does not increase the risk of toxicity if taken with lithium.
Rationale 3: Calcium iodine does not increase the risk of toxicity if taken with lithium.
Rationale 4: Lithium, when combined with a diuretic such as furosemide, increases the potential for sodium depletion, thereby increasing therapeutic blood levels of lithium to the toxic range.
Global Rationale: Lithium, when combined with a diuretic such as furosemide, increases the potential for sodium depletion, thereby increasing therapeutic blood levels of lithium to the toxic range. Lomefloxacin, sodium bicarbonate, and calcium iodine do not increase the risk of toxicity if taken with lithium.