A client is being treated for depression with phenelzine (Nardil)
The indicator that would be useful
to monitor the outcome "client will understand the potential side effects of monoamine oxidase
inhibitor (MAOI) antidepressants" is that the client
a. wears supportive shoes.
b. elevates legs when sitting.
c. eats at Chinese restaurants.
d. avoids over-the-counter medications.
D
Over-the counter medicines may contain vasopressor agents or tyramine, a substance that must be
avoided when the client takes MAOI antidepressants. Medications for colds, allergies, or congestion
or any preparation that contains ephedrine, phenylephedrine, or phenylpropanolamine may
precipitate a hypertensive crisis. Options A and B: MAOI antidepressant therapy is unrelated to the
need for specific shoe types or leg elevation. Option C: This is undesirable. Chinese dishes often
contain fermented soy products, which are high in tyramine. MAOIs interact with
tyramine-containing foods to produce dangerously high blood pressure.
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A 45-year-old woman has sought care from her primary care provider because she has been experiencing signs and symptoms of perimenopause
The nurse at the clinic has undertaken to perform some health education around this life transition for the patient. When doing so, what should the nurse teach the patient? A) Menopause is considered to be a pathophysiological phenomenon. B) Production of estrogen and progesterone ceases during menopause. C) Pregnancy is possible until 1 year after the cessation of menstruation. D) The symptoms associated with perimenopause can be avoided by making lifestyle changes.
PCA is an technique for effective pain management because it involves:
a. allowing the client to exercise control over analgesia administration. b. the use of electric shocks to deaden a nerve. c. the induction of general anesthesia. d. the use of heating pads or hot packs.
A student is assessing a postoperative patient who has developed pneumonia. The plan of care includes positioning the patient in the Fowler's or semi-Fowler's position. What is the rationale for this position?
A) It increases blood flow to the heart. B) The patient will be more comfortable and have less pain. C) It facilitates nursing assessments of skin color and temperature. D) It promotes full aeration of the lungs.
While caring for a patient in labor the fetal heart monitor demonstrates late decelerations. What is the most common cause for late decelerations?
A) Cord compression B) Maternal hypotension C) Maternal fatigue D) Uteroplacental insufficiency