Which client complaint should receive priority from a client who is taking tranylcypromine (Par-nate)?
1. "My legs get stiff when I sit in the chair for a while."
2. "Will you take my temperature? I feel too warm."
3. "I've had a headache ever since I drank some coffee."
4. "I haven't had a bowel movement in 2 days."
ANS: 3
Hypertensive crisis may occur if a client taking a MAOI ingests certain food containing tyramine or drugs that cause BP elevation. Headache is a warning sign of hypertensive crisis. The nurse should assess BP and inquire about other symptoms of hypertensive crisis. 1. Stiffness is not re-lated to MAOI therapy. 2. Elevated temperature is not an initial sign of hypertensive crisis. 4. Constipation is not a sign of hypertensive crisis.
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