A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Somnolence
Diarrhea
Bradycardia
Hypertension
The Correct Answer is D
Monoamine oxidase inhibitors (MAOIs) block the enzyme monoamine oxidase, which is responsible for breaking down tyramine in the body. When taking MAOIs, consuming high-tyramine foods can cause tyramine levels to reach dangerous levels, leading to a serious spike in blood pressure. It's important to follow a low-tyramine diet while on MAOIs and for a few weeks after stopping the medication to prevent a hypertensive crisis. The interaction has no effect on bowel habits, or arousal/wakefulness
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.
A-ACEIS, ARBS cause angioedema and persistent dry cough
B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis
C-anticoagulants can cause black stools which is a sign of upper GI bleeding.
Correct Answer is A
Explanation
Nifedipine is a calcium channel blocker is used in the management of hypertension. It leads to vasodilation of blood vessels lowering blood pressure. Nifedipine is a calcium channel blocker commonly used to treat hypertension and angina. Therefore, the nurse should assess the client's blood pressure prior to administering nifedipine to ensure that it is within the therapeutic range and not too low, as nifedipine can cause hypotension (as a side effect.
B,C, D- Nifedipine has no effect on respiratory rate, temperature and oxygen saturation
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