A patient is taking a monoamine oxidase inhibitor for depression. In planning care for this patient, the nurse knows that a hypertensive crisis may be possible and plans on having what drug on hand as an antidote?
Meperidine (Demerol)
Calcium channel blockers
Carbamazepine (Tegretol)
Dextromethorphan
The Correct Answer is B
A. Meperidine is contraindicated with monoamine oxidase inhibitors (MAOIs) and can lead to serotonin syndrome rather than being an antidote for hypertensive crisis.
B. Calcium channel blockers, such as nifedipine, are commonly used as antidotes for hypertensive crisis associated with MAOI use.
C. Carbamazepine is not indicated for the treatment of hypertensive crisis associated with MAOI use.
D. Dextromethorphan is contraindicated with MAOIs due to the risk of serotonin syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Stable angina is predictable and typically occurs with exertion or emotional stress and is relieved with rest or nitroglycerin. Unstable angina is less predictable and more serious, occurring at rest, with minimal exertion, or worsening pattern from stable angina.
B. This answer misrepresents the characteristics and causes of stable and unstable angina, mixing definitions or incorrectly assigning causes.
C. This answer misrepresents the characteristics and causes of stable and unstable angina, mixing definitions or incorrectly assigning causes.
D. This answer misrepresents the characteristics and causes of stable and unstable angina, mixing definitions or incorrectly assigning causes.
Correct Answer is C
Explanation
A. Total cholesterol levels alone do not provide sufficient information about the lipid profile; it is important to assess individual components such as LDL, HDL, and triglycerides.
B. Very low-density lipoprotein (VLDL) is associated with increased risk of cardiovascular disease when elevated, so it should not be high.
C. Low-density lipoprotein (LDL) cholesterol is often referred to as "bad" cholesterol, and lower levels are associated with reduced risk of cardiovascular disease.
D. High-density lipoprotein (HDL) cholesterol is often referred to as "good" cholesterol, and higher levels are associated with reduced risk of cardiovascular disease.
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