Final answer:
The nurse should monitor for toxic effects such as central nervous system depression, impaired motor and sensory function, impaired cognition, and decreased blood flow to the brain. Severe cases can lead to death.
Step-by-step explanation:
When a client ingests a full bottle of imipramine hydrochloride, the nurse should monitor for the toxic effects associated with the drug. The most important toxic effects to monitor include central nervous system depression, impaired motor and sensory function, impaired cognition, decreased blood flow to the brain, and possible decreased respiratory function. These effects can lead to symptoms such as sleepiness, nausea, vomiting, confusion, and even death in severe cases.