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 D
Explanation
A. Organic nitrates, such as nitroglycerin, dilate (widen) veins and coronary arteries, leading to decreased preload and afterload, which helps relieve angina pain.
B. Constricting veins and coronary arteries would exacerbate angina symptoms by reducing blood flow to the heart muscle.
C. Dissolving veins and coronary arteries is not a mechanism of action for organic nitrates in the treatment of angina.
D. Dilating veins and coronary arteries is the primary mechanism of action for organic nitrates, resulting in increased blood flow to the heart muscle and relief of angina pain.
Correct Answer is ["B","C","E"]
Explanation
A. Weight gain is not typically associated with nicotinic acid use.
B. Fever can occur as an adverse effect of nicotinic acid.
C. Flushing, or redness and warmth of the skin, is a common side effect of nicotinic acid.
D. Chest heaviness is not an adverse effect of nicotinic acid.
E. Higher concentrations of niacin has been associated with hot flashes.
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