Why must selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs), and other antidepressant drugs be avoided for at least 14 days after discontinuing monoamine oxidase inhibitors (MAOIs)?

A. To avoid a life-threatening drug interaction
B. To give the body a "break" from medications
C. To see if the patient's depression comes back without medication
D. To avoid side effects


Answer: A. To avoid a life-threatening drug interaction

Nursing

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A patient's bedside ECG strips show the following changes: increased PR interval; increased QRS width; and tall, peaked T waves. Vital signs are T 98.2° F; HR 118 beats/min; BP 146/90 mm Hg; and RR 18 breaths/min

The patient is receiving the following medications: digoxin 0.125 mg PO every day; D51/2 normal saline with 40 mEq potassium chloride at 125 mL/hr; Cardizem at 30 mg PO q8h; and aldosterone at 300 mg PO q12h. The physician is notified of the ECG changes. What orders should the nurse expect to receive? a. Change IV fluid to D51/2 normal saline and draw blood chemistry. b. Give normal saline with 40 mEq of potassium chloride over a 6-hour period. c. Hold digoxin and draw serum digoxin level. d. Hold Cardizem and give 500 mL normal saline fluid challenge over a 2-hour period.

Nursing

Which one of the following terms describes the phenomenon that occurs when the results of two drugs used together have a greater combined effect than when either drug is used alone?

a. Additive effect b. Synergism c. Potentiation d. Antagonism

Nursing

The client's caregiver has had difficulty making a positive statement about self since beginning full-time care of the client. The caregiver is probably experiencing which of the following?

1. Compromised family coping 2. Social isolation 3. Parental role conflict 4. Caregiver role strain

Nursing

The nurse manager has assigned a new graduate to provide care to a client who is in cervical traction. The new graduate states that she has never cared for this type of patient. What should the nurse manager do? a. Tell the new graduate that she will be suspended if she refuses the assignment. b. Refer the new graduate to the unit's policy and procedure manual. c. Contact the supervisor and

request that the new graduate be assigned to another patientcare unit. d. Reassign the patient to a more experienced nurse.

Nursing