A nurse is caring for a client who has a new prescription of phenelzine (Nardil) for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?
Hearing loss
Orthostatic hypotension
Weight loss
Gastrointestinal bleeding
The Correct Answer is B
A. Hearing loss is not a common adverse effect of phenelzine (Nardil).
B. Orthostatic hypotension is a common adverse effect of phenelzine due to its monoamine oxidase inhibitor (MAOI) activity, leading to decreased blood pressure upon standing.
C. Weight loss is not a common adverse effect of phenelzine and may be more indicative of other factors or conditions.
D. Gastrointestinal bleeding is not a common adverse effect of phenelzine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Multiple sclerosis is a chronic autoimmune disease affecting the central nervous system, not caused by statins or involving muscle inflammation.
B. Rhabdomyolysis is the breakdown of muscle tissue that leads to the release of muscle fiber contents into the bloodstream. It can be caused by statin medications among other factors.
C. Dystonia is a movement disorder characterized by involuntary muscle contractions, unrelated to muscle breakdown.
D. Spasticity is a condition where certain muscles are continuously contracted, causing stiffness or tightness of the muscles, also unrelated to muscle breakdown.
Correct Answer is D
Explanation
A. Organic nitrates, such as nitroglycerin, dilate (widen) veins and coronary arteries, leading to decreased preload and afterload, which helps relieve angina pain.
B. Constricting veins and coronary arteries would exacerbate angina symptoms by reducing blood flow to the heart muscle.
C. Dissolving veins and coronary arteries is not a mechanism of action for organic nitrates in the treatment of angina.
D. Dilating veins and coronary arteries is the primary mechanism of action for organic nitrates, resulting in increased blood flow to the heart muscle and relief of angina pain.
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