A client who has been taking fluvoxamine (Luvox) without significant improvement asks a nurse, "I heard about something called a monoamine oxidase inhibitor (MAOI)
Can't my doctor add that to my medications?" Which is an appropriate nursing reply? A. "This combination of drugs can lead to delirium tremens."
B. "A combination of an MAOI and Luvox can lead to a life-threatening hypertensive crisis."
C. "That's a good idea. There have been good results with the combination of these two drugs."
D. "The only disadvantage would be the exorbitant cost of the MAOI."
B
The nurse should explain to the client that combining an MAOI and Luvox can lead to a life-threatening hypertensive crisis. Symptoms of hypertensive crisis include severe occipital and/or temporal pounding headaches with occasional photophobia, sensations of choking, palpitations, and a feeling of "dread."
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