The nurse is caring for a male patient who is taking a monoamine oxidase inhibitor (MAOI). The patient complains of seasonal rhinitis and the intern for his service orders phenylephrine nasal spray. What is the nurse's priority action?
A) Verify patency of the nares.
B) Review the patient's medication history.
C) Question the order with the prescriber.
D) Position the patient to give the drug as ordered.
C
Feedback:
Phenylephrine, combined with MAOIs, can cause severe hypertension, headache, and hyperpyrexia. This combination should be avoided. As a result, the priority action is to remind the intern the patient is taking an MAOI and obtain an order for a different drug. Until the new order is received, no other actions would be taken.
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