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

Answer and Explanation

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.

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Free Nursing Study Resources

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.

A. Chew sugarless gum to prevent dry mouth B. Expect therapeutic effects in 24 to 48 hours C. Decrease dietary fiber intake to control diarrhea D. Discontinue the medication after a week of improved mood E. Change positions slowly to minimize dizziness

Correct Answer is ["A","E"]

Explanation

Explanation:

A. Imipramine commonly causes dry mouth as a side effect, so chewing sugarless gum can help alleviate this symptom.

B. Therapeutic effects of imipramine may not be felt until after several weeks of treatment, rather than within 24 to 48 hours.

C. Increasing dietary fiber intake can help alleviate constipation, a common side effect of imipramine, rather than decreasing it.

D. Discontinuing antidepressant medication abruptly, especially after a short period, can lead to withdrawal symptoms and a recurrence of depressive symptoms.

E. Imipramine can cause orthostatic hypotension, leading to dizziness upon standing, so changing positions slowly can help minimize this risk.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse informs the patient to remain well hydrated while taking lithium because dehydration can lead to:

Correct Answer is A

Explanation

A nurse is reinforcing teaching to a client who has a new prescription for imipramine (Tofranil) for treatment of depression. Which of the following should the nurse reinforce in the teaching? (Select all that apply)

Correct Answer is ["A","E"]

Explanation

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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?