question.
References: Lehne, R. (2010). Pharmacology for nursing care (7th ed., p. 358). St. Louis: Saunders.
Nix, S. (2009). Williams’ basic nutrition and diet therapy (13th ed., p. 333). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology
Awarded 0.0 points out of 1.0 possible points.
38.ID: 383703659
The blood serum level of imipramine is determined in a client who is being treated for depression with Tofranil-PM. The laboratory test indicates a concentration of 250 ng/mL. On the basis of this result, the nurse should:
Contact the physician Hold the next dose of imipramine Document the laboratory result in the client's record Correct Have another blood sample drawn and ask the laboratory to recheck the imipramine level Rationale: Imipramine is a tricyclic antidepressant that is often used to treat depression. The therapeutic blood serum level is between 225 and 300 ng/mL, so the nurse would simply document the laboratory result in the client’s record. Asking the laboratory to recheck the level and withholding the next dose of the imipramine and contacting the physician are unnecessary.
Test-Taking Strategy: Use the process of elimination and recall the therapeutic blood serum level.
Eliminate the options that are comparable or alike in that they indicate that the result is abnormal.
Review the therapeutic blood serum level of imipramine if you had difficulty with this question.
References: Hodgson, B., & Kizior, R. (2010). Saunders nursing drug handbook 2009 (p. 600). St. Louis:
Saunders.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health nursing: A communication
approach to evidence-based care (p. 232). St. Louis: Saunders.
Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Pharmacology
Awarded 0.0 points out of 1.0 possible points.
39.ID: 383706617
A nurse provides instructions to a client who has been prescribed lithium carbonate (Lithobid) for the treatment of bipolar disorder. Which of these statements by the client indicate a need for further instruction? Select all that apply.
concerned.” Correct
