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. Lithium toxicity can occur if the patient becomes dehydrated while taking lithium, as dehydration can lead to higher concentrations of lithium in the blood.
B. Increased effectiveness is not a consequence of dehydration while taking lithium.
C. Dehydration would not typically lead to the need to increase the lithium dosage but rather to the risk of toxicity.
D. Dehydration can lead to higher, not lower, serum lithium levels, increasing the risk of toxicity.
Correct Answer is B
Explanation
A. The symptoms described are characteristic of mania, not indicative of an overdose of barbiturates.
B. The symptoms described align with a manic episode, which is a hallmark feature of bipolar disorder.
C. These symptoms are not typically associated with lithium side effects.
D. The symptoms described are not consistent with depression but rather with mania.
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