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 C
Explanation
A. GABA (gamma-aminobutyric acid) is not typically targeted by antidepressants.
B. While some antidepressants may indirectly affect epinephrine and norepinephrine levels, the primary mechanism of action for most antidepressants is through increasing levels of serotonin and/or norepinephrine.
C. Antidepressants commonly work by increasing the levels of neurotransmitters such as norepinephrine and serotonin in the brain.
D. The reticular formation is not directly involved in the mechanism of action of antidepressants.
Correct Answer is B
Explanation
A. Multiple sclerosis is a chronic autoimmune disease affecting the central nervous system, not caused by statins or involving muscle inflammation.
B. Rhabdomyolysis is the breakdown of muscle tissue that leads to the release of muscle fiber contents into the bloodstream. It can be caused by statin medications among other factors.
C. Dystonia is a movement disorder characterized by involuntary muscle contractions, unrelated to muscle breakdown.
D. Spasticity is a condition where certain muscles are continuously contracted, causing stiffness or tightness of the muscles, also unrelated to muscle breakdown.
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