A female client with pain who has been diagnosed with somatic symptom disorder and depression is prescribed medication therapy to treat both the pain and the symptoms of depression
When educating the client about the medication, which of the following would the nurse emphasize?
A) Use of sunscreen when exposed to bright sunlight
B) Limiting of the amount of water ingested
C) Avoiding foods such as aged cheeses
D) Stopping the medication if there is no change after 1 week
Ans: C
The client most likely is prescribed phenelzine, a monoamine oxidase inhibitor (MAOI) that has been effective in treating not just clients with depression, but also the chronic pain and headaches common in people with complex somatic symptom disorder. Clients who take phenelzine should avoid foods high in tyramine (e.g., aged cheese) to prevent a hypertensive crisis. Photosensitivity is not associated with the use of MAOIs. Water intake needs to be monitored when lithium is used. Clients should also be encouraged to give the medications enough time to be effective because many medications require up to 6 weeks before the patient has a response or a relief of symptoms.
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