The nurse instructs the family and client on phenelzine (Nardil) about:
1. No risk for concomitant use with a Selective Serotonin Reuptake Inhibitor (SSRI).
2. No risk for concomitant use with opioids.
3. Use of a low glycemic diet.
4. Use of a low-tyramine diet.
4
Rationale: Nardil is a monoamine oxidase inhibitor (MAOI) and requires the use of a low-tyramine diet, not a low glycemic diet. These diets are not the same. There is a death risk for concomitant use of a MAOI with a SSRI and/or opioid.
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A woman who is 8 weeks' pregnant is visiting the clinic for a checkup. Her systolic blood pressure is 30 mm Hg higher than her prepregnancy systolic blood pressure. The nurse should:
a. Consider this a normal finding. b. Expect the blood pressure to decrease as the estrogen levels increase throughout the pregnancy. c. Consider this an abnormal finding because blood pressure is typically lower at this point in the pregnancy. d. Recommend that she decrease her salt intake in an attempt to decrease her peripheral vascular resistance.
An LPN/LVN must practice under the supervision of an RN, medical physician, osteopathic physician, or:
a. dentist. b. psychologist. c. physical therapist. d. experienced LPN/LVN.
The nurse is assessing a patient diagnosed with Graves' disease. What physical characteristics of Graves' disease would the nurse expect to find?
A) Hair loss B) Moon face C) Bulging eyes D) Fatigue
What inner ear structure is affected when a client is diagnosed with otosclerosis?
A) Malleus B) Stapes C) Incus D) Tympanic membrane