The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?
Discuss how food can increase the symptoms of depression
Arrange for admittance to the psychiatric unit
Discuss the effects of wine on the action of antidepressants
Assess the client's blood pressure
The Correct Answer is D
Explanation:
A. Discussing how food can increase the symptoms of depression is not the priority in this situation; the immediate concern is the interaction between phenelzine and wine.
B. Admitting the client to the psychiatric unit is not necessary based solely on the consumption of wine with phenelzine; assessing the client's condition is the priority.
C. Discussing the effects of wine on the action of antidepressants is important, but assessing the client's current status takes precedence.
D. Assessing the client's blood pressure is the priority action because phenelzine is an MAOI, and consuming wine while taking MAOIs can lead to a hypertensive crisis.
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 A
Explanation
Explanation:
A. Headache is a common side effect of nitroglycerin due to vasodilation and can often be managed with continued use.
B. Nitroglycerin is known to cause headaches as a common side effect.
C. Taking nitroglycerin with a high-fat meal is not likely to prevent headaches; it may, in fact, delay absorption and onset of action.
D. A headache alone is not indicative of a serious allergic reaction to nitroglycerin; other symptoms would typically be present.
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