Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

The client should be advised to avoid aged cheese while taking this medication.

The client should be advised to avoid red wine while taking this medication.

The client may experience hypertensive crisis if aged cheese or red wine are consumed while taking this medication.

The client may experience serotonin syndrome if aged cheese or red wine are consumed while taking this medication.

The client may experience hypotension if aged cheese or red wine are consumed while taking this medication.

Answer and Explanation

Correct Answer : C

The client may experience hypertensive crisis if aged cheese or red wine are consumed while taking this medication. This is because aged cheese and red wine contain tyramine, an amino acid that can cause a dangerous increase in blood pressure when mixed with MAOIs. MAOIs are drugs that inhibit the enzyme that breaks down excess tyramine in the body. A hypertensive crisis can be deadly and requires emergency treatment.

Choice A and B are partially correct, but not complete. The client should be advised to avoid aged cheese and red wine while taking this medication, but this does not explain why or what could happen if they do not.

Choice D is wrong because serotonin syndrome is caused by too much serotonin, not tyramine. Serotonin syndrome can occur when MAOIs are taken with other drugs that increase serotonin levels, such as SSRIs.

Choice E is wrong because hypotension is low blood pressure, not high blood pressure.

Tyramine can cause hypertension, not hypotension. Hypotension can be a side effect of some MAOIs, but it is not related to tyramine intake.

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

Explanation

These are all possible signs ofneuroleptic malignant syndrome (NMS), a rare but serious adverse effect of risperidone and other antipsychotic medications.

NMS is a life-threatening condition that requires immediate medical attention.It is characterized by fever, muscle rigidity, altered mental status, autonomic instability and elevated creatine kinase levels.

Choice B is wrong because polyuria is not a common side effect of risperidone.Polyuria can be caused by other conditions such as diabetes mellitus, diabetes insipidus or diuretic use.

Normal ranges for vital signs and laboratory values are as follows:

• Temperature: 36.5°C to 37.5°C (97.7°F to 99.5°F)

• Heart rate: 60 to 100 beats per minute

• Blood pressure: 120/80 mm Hg or lower

• Respiratory rate: 12 to 20 breaths per minute

• Oxygen saturation: 95% or higher

• Creatine kinase: 22 to 198 U/L for males and 10 to 171 U/L for females

A. Chlorpromazine (Thorazine) B. Thiothixene (Navane) C. Risperidone (Risperdal) D. Haloperidol (Haldol).

Correct Answer is C

Explanation

Risperidone is an atypical antipsychotic medication that can help improve the negative symptoms of schizophrenia, such as lack of grooming and flat affect.It can also reduce positive symptoms, such as hallucinations and delusions.

Choice A is wrong because Chlorpromazine (Thorazine) is wrong because it is a conventional antipsychotic medication that mainly treats positive symptoms of schizophrenia, but has little effect on negative symptoms.

Choice B is wrong because Thiothixene (Navane) is wrong for the same reason as choice A.It is also a conventional antipsychotic medication that mainly treats positive symptoms of schizophrenia, but has little effect on negative symptoms.

Choice D is wrong because Haloperidol (Haldol) is wrong for the same reason as choice A and B.It is also a conventional antipsychotic medication that mainly treats positive symptoms of schizophrenia, but has little effect on negative symptoms.

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Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and is taking risperidone (Risperdal). Which of the following findings should alert the nurse to a potential adverse effect of this medication? (Select all that apply.)

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

Explanation

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications?

Correct Answer is C

Explanation

A client is prescribed clozapine (Clozaril). The nurse should closely monitor the client for which potential adverse effect?

A nurse is caring for a client who has bipolar disorder and is taking lithium carbonate (Lithobid). Which of the following laboratory tests should be monitored periodically while the client is taking this medication?

A patient has been prescribed an SSRI for depression and reports feeling more anxious since starting the medication. The nurse should:

A client with bipolar disorder is prescribed carbamazepine (Tegretol). Which of the following adverse effects should be reported immediately?

Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

A nurse is providing discharge teaching to a client who has a new prescription for phenelzine for depression. Which of the following foods should the nurse instruct the client to avoid while taking this medication? (Select all that apply.).

A nurse is caring for a client who has bipolar disorder and is prescribed lamotrigine (Lamictal). Which of the following instructions should be included in the teaching? (Select all that apply.)

A nurse is teaching a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include in the teaching?