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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Explanation:

A. Leaving the patch off for a certain period each day helps prevent tolerance, ensuring that the medication remains effective over time.

B. Continuous use of the patch without breaks may lead to tolerance, reducing its effectiveness.

C. Wearing the patch continuously without any breaks could lead to tolerance and decreased efficacy.

D. Wearing the patch off for only 15 minutes would not provide enough time for the medication to have a therapeutic effect and would not address the issue of tolerance.

A. "Place three tablets under your tongue, and call 911." B. “Swallow three tablets immediately for pain, and call 911.” C. "For chest pain, put one tablet under your tongue every 5 minutes; taking no more than a total of three tablets." D. "Call your healthcare provider when you have chest pain. The provider will tell you how many tablets to take."

Correct Answer is C

Explanation

A. Placing three tablets under the tongue at once is not the recommended initial dosing for nitroglycerin.

B. Nitroglycerin tablets should not be swallowed; they are meant to be taken sublingually (under the tongue) for quick absorption.

C. This is the correct instruction, reflecting the standard protocol for acute angina treatment with nitroglycerin: one tablet under the tongue every 5 minutes as needed, with no more than three tablets in 15 minutes. If pain persists, it is advised to call emergency services.

D. This instruction is inappropriate as it delays immediate treatment for chest pain, which can be critical in the event of acute angina or a heart attack.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client asks the nurse why the Transdermal Nitroglycerin patch needs to be off for 12 hours per day. What is the best response by the nurse?

Correct Answer is A

Explanation

The patient is being discharged with nitroglycerin (Nitrostat). Patient education would include instructions to:

Correct Answer is C

Explanation

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