What client information does a nurse need to assess prior to initiating medication therapy with phenelzine (Nardil)?

A. The client's understanding of the need for regular bloodwork
B. The client's mood and affect score, according to the facility's mood scale
C. The client's cognitive ability to understand information about the medication
D. The client's access to a support network willing to participate in treatment


ANS: C
There are many dietary and medication restrictions when taking Nardil. A client must have the cognitive ability to understand information about the medication and which foods, beverages, and medications to eliminate when taking Nardil.

Nursing

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What clinical manifestation related to sleep is most likely in a patient who is obese and has hypertension?

1. Wakefulness 2. Periodic apnea 3. Hypersomnolence 4. Periodic limb movements

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The rationale for the 1992 changes in the Food and Drug Administration regulations to permit accelerated approval of drugs for the treatment of life-threatening or severely debilitating disease was:

A. to allow for marketing before completion of Phase II of drug trials. B. to ensure that the unknown risks associated with early approval are balanced by the need for effective drugs. C. to change the rules because existing FDA regulations were too stringent for potentially effective drugs. D. to accelerate approval of new drugs to give physicians the option of using them without research findings.

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Secure PHR messaging refers to the capacity to:

a. send messages between healthcare providers within a single EHR. b. send messages between healthcare providers across healthcare systems. c. send messages from patients to providers via a tethered PHR. d. send messages from patients to providers via a stand-alone PHR.

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A patient is considering surgery to treat obesity. Which factors meet established criteria for the use of surgery in the treatment of obesity? (Select all that apply.)

a. Hypertension b. Presence of gallstones c. Gross obesity for 5 years d. Psychiatric and social stability e. Body weight 50% above ideal weight f. Failure to reduce weight with other forms of therapy

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