Identify the assessment found by a nurse on a client who is admitted with a possible accidental overdose of imipramine (Tofranil) that would require the most immediate intervention.
A)Depressed deep tendon reflexes and Glasgow Coma Scale of 11
B)Sinus tachycardia of 128 with a QRS complex of 0.14 second
C)Ecchymotic areas on arms and an HCT of 33%
D)Distended abdomen and decreased bowel sounds

Question

Quizplus · Accepted Answer

Sinus tachycardia with a prolonged QRS complex is a sign of imipramine toxicity and requires immediate intervention. This could progress to ventricular dysrhythmias, seizures, and cardiac arrest if not treated promptly. The other options may also require intervention but are not as immediately life-threatening as the cardiac manifestation.

Identify the Assessment Found by a Nurse on a Client