A nurse caring for a patient who takes Tofranil (imipramine) 150 mg orally at bedtime would be most concerned by which of the following observations?
A) The patient's urine has a blue-green tinge.
B) The patient reports fuzzy vision and difficulty seeing.
C) The patient reports feeling dizzy when getting out of bed.
D) The patient reports she has gained 2 pounds in the last 3 weeks.

Question

Quizplus · Accepted Answer

Tofranil (imipramine) can cause blurred vision and other visual disturbances as a side effect. The other options listed are not typically associated with the use of this medication. A blue-green tinge to urine can occur with methylene blue, which is sometimes used as a diagnostic agent or treatment for certain conditions, and dizziness upon standing may be a symptom of orthostatic hypotension, which is common in elderly patients regardless of medication use. A 2-pound weight gain over 3 weeks is not uncommon and may not necessarily be a concern, depending on the patient's overall health status and dietary habits.

A Nurse Caring for a Patient Who Takes Tofranil (Imipramine)