After teaching a client who is prescribed phenelzine for treatment of somatic symptom disorder, the nurse determines that additional education is needed when the client states which of the following?
A) "I can take an over-the-counter medicine for my hay fever."
B) "I should avoid alcohol when I take this drug."
C) "I should not stop taking the drug abruptly."
D) "I need to report any panic attacks or irritability."
Ans: A
Phenelzine is a monoamine oxidase inhibitor. Clients prescribed this drug should avoid alcohol, sleep-inducing drugs, and over-the-counter drugs such as cold and hay fever medications and appetite suppressants, all of which may cause serious or life-threatening problems. The client should take the drug exactly as prescribed and not stop taking it abruptly. Signs such as anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia, hypomania, mania, other unusual changes in behavior, worsening of depression, and suicidal ideation should be reported to the client's prescriber, especially if they are severe, abrupt in onset, or were not part of the client's presenting symptoms.
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