A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication?
a. Constipation
b. Hypotension
c. Neck stiffness
d. Urinary retention
ANS: C
Hypertensive crisis is a major potential complication. Common prodromal symptoms of hypertensive crisis include severe occipital headache, stiff neck, sweating, nausea, vomiting, and sharply elevated blood pressure. Constipation, hypotension, and urinary retention are not indicative of a major potential complication when patients consume foods high in tyramine.
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The nurse is providing education to a cardiac patient who has multiple life stressors that are impacting the patient's health
Which of the following statements by the patient indicate he has a good understanding of actions he can take to reduce his stressors? (Select all that apply.) a. "I should change my job." b. "I should plan some downtime." c. "I should meet with a financial counselor." d. "I should talk with my family about my situation." e. "I should make my family go to counseling with me."
An older adult with type 2 DM who is being treated with insulin wants to increase his activity level and begin a walking program. What recommendations should the nurse provide to this pa-tient?
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1. the resolution of burn shock 2. the onset of burn shock 3. the onset of renal failure 4. the onset of liver failure
During a nurse's visit to the client's home, the client states, "I have pain in my right knee." The nurse assesses the client's right knee. This is a
A) Focused assessment B) Spiritual assessment C) Social assessment D) Comprehensive assessment