Which patient complaint should receive priority from a patient who is taking the MAOI tranylcypromine (Parnate)?
a. "I haven't had a bowel movement in 2 days."
b. "Will you take my temperature? I feel too warm."
c. "I get a headache when I drank several cups of coffee."
d. "My legs get stiff when I sit in the chair for any length of time."
ANS: C
Hypertensive crisis may occur if a patient taking a MAOI ingests certain food containing ty-ramine or drugs that cause blood pressure (BP) elevation. Headache is a warning sign of hy-pertensive crisis. The nurse should assess BP and inquire about other symptoms of hyperten-sive crisis. Stiffness is not related to MAOI therapy. Elevated temperature is not an initial sign of hypertensive crisis. Constipation is not a sign of hypertensive crisis.
You might also like to view...
Why is a Papanicolaou smear done at the first prenatal visit?
A) It predicts whether cervical cancer will occur. B) It helps to date the pregnancy. C) It detects if uterine cancer is present. D) It identifies abnormal cervical cells.
The nurse realizes that which stressor is one of the primary concerns of critically ill patients and should be routinely included during assessments?
1. Inability to control elimination 2. Lack of family support 3. Hunger 4. Altered ability to communicate
The nurse is providing patient education for a group of nurses on the topic of chronic renal failure (CRF)
To evaluate the group's understanding, the nurse asks, "What is the greatest benefit of treatment with epoetin alfa in patients in renal failure?" The best response would be that the drug a. replaces erythropoietin no longer produced in the proximal tubules of the kidney because of CRF. b. neutralizes the kidneys' waste products, which destroy circulating RBCs. c. metabolizes the hormone that interferes with RBC production. d. increases the kidneys' excretion of substances that interfere with RBC production.
Which of the following statements is true about cephalosporins and penicillins?
A. The cephalosporins are used as substitutes for penicillins in the treatment of certain gram-positive infections. B. The mechanism of action of the cephalosporins is the same as that of the penicillins. C. The cephalosporins are usually less resistant than the penicillins to the bacterial beta-lactamase enzymes. D. The chemical structure of the cephalosporins is completely different from that of the penicillins.