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 A
Explanation
A. Fever and lack of muscular coordination may indicate symptoms of serotonin syndrome, a potentially serious complication that can occur when sertraline (an SSRI) is combined with lithium.
B. Nausea and headache are common side effects of sertraline and lithium but are not typically indicative of a serious complication when these medications are used together.
C. Anxiety and insomnia may be related to the underlying condition being treated (e.g., depression) but are not necessarily indicative of a serious complication.
D. Dry mouth and constipation are potential side effects of lithium but are not typically indicative of a serious complication when combined with sertraline.
Correct Answer is D
Explanation
A. "Noxium" is not a known medication for mood stabilization in bipolar disorder.
B. Valium and Librium are benzodiazepines commonly used for anxiety and are not typically used for mood stabilization in bipolar disorder.
D. Lithium is a mood stabilizer commonly used in the treatment of bipolar disorder to prevent or reduce the severity of manic and depressive episodes.
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