A client with depression is prescribed phenelzine (Nardil). The client says to the nurse, “I will need to watch my diet with this medication. What food options should I avoid?” Which of the following is the correct response by the nurse?

Blue cheese, red wine, raisins

Milk, peanuts, tomatoes

Shellfish, grapefruit, egg yolks

Juice, pears, black beans

Answer and Explanation

The Correct Answer is A

Choice A reason: Phenelzine, an MAOI, inhibits monoamine oxidase, leading to tyramine accumulation. Tyramine-rich foods like blue cheese, red wine, and raisins can cause hypertensive crises by triggering norepinephrine release, leading to dangerous blood pressure spikes, making this the correct dietary restriction advice.

Choice B reason: Milk, peanuts, and tomatoes are not high in tyramine and do not interact significantly with phenelzine. These foods are generally safe for clients on MAOIs, as they do not trigger the hypertensive crises associated with tyramine-rich foods, making this incorrect.

Choice C reason: Shellfish, grapefruit, and egg yolks are not tyramine-rich and do not pose a significant risk with phenelzine. Grapefruit affects cytochrome P450 enzymes, not MAOIs, and shellfish and egg yolks are safe, making this an incorrect dietary restriction.

Choice D reason: Juice, pears, and black beans are low in tyramine and safe for clients taking phenelzine. They do not cause the hypertensive crises associated with MAOI-related ty/annine interactions, making this an incorrect choice for foods to avoid.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Assessing family health history may provide context for genetic predispositions to mental health disorders. However, it is not the priority upon admission, as it does not address immediate physiological risks like malnutrition or cardiac instability, which are critical in anorexia nervosa due to severe weight loss.

Choice B reason: Assessing the client’s knowledge of treatment options is important for engaging them in their care plan. However, this is secondary to addressing immediate physical health risks, such as electrolyte imbalances or cardiac complications, which are life-threatening in anorexia nervosa and require urgent attention.

Choice C reason: Assessing early disturbances in family interactions may help identify triggers for anorexia nervosa, such as emotional stress. However, this is not the priority upon admission, as it does not address the immediate physiological dangers of malnutrition, dehydration, or organ dysfunction, which take precedence.

Choice D reason: Anorexia nervosa can cause severe physiological complications, including bradycardia, hypotension, and electrolyte imbalances, due to malnutrition. Assessing and monitoring vital signs and lab values is critical to identify life-threatening conditions like hypokalemia or cardiac arrhythmias, ensuring immediate stabilization and guiding treatment, making it the priority intervention.

A. A brief period of intense depressive symptoms followed by a complete return to baseline mood B. A chronic low mood that lasts for at least two years, but with fewer and less severe symptoms than major depressive disorder C. Symptoms of depression that last for a minimum of two weeks and occur only during the winter months D. Sudden, intense depressive episodes that are followed by periods of high energy and impulsive behavior

Correct Answer is B

Explanation

Choice A reason: Brief, intense depressive episodes with full recovery are characteristic of major depressive disorder, not dysthymia. Dysthymic disorder involves persistent, less severe symptoms over at least two years, without complete remission, making this an incorrect description.

Choice B reason: Dysthymic disorder is defined by a chronic low mood lasting at least two years, with milder symptoms (e.g., low energy, poor self-esteem) than major depressive disorder. This persistent, less severe state aligns with the diagnosis, making this the correct feature.

Choice C reason: Depressive symptoms for two weeks during winter months describe seasonal affective disorder, not dysthymia. Dysthymic disorder is chronic and not seasonally limited, with symptoms persisting for years, making this an incorrect characteristic.

Choice D reason: Sudden, intense depressive episodes followed by high-energy periods suggest bipolar disorder, not dysthymia. Dysthymic disorder involves continuous low-grade depression without manic or hypomanic episodes, making this an inaccurate description of the condition.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with depression is prescribed phenelzine (Nardil). The client says to the nurse, “I will need to watch my diet with this medication. What food options should I avoid?” Which of the following is the correct response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with anorexia nervosa is newly admitted to an inpatient psychiatric unit. Which nursing intervention takes priority?

Correct Answer is D

Explanation

A nurse is assessing a client diagnosed with dysthymic disorder (persistent depressive disorder). Which of the following is a characteristic feature of dysthymic disorder?

Correct Answer is B

Explanation

A client with depression is prescribed phenelzine (Nardil). The client says to the nurse, “I will need to watch my diet with this medication. What food options should I avoid?” Which of the following is the correct response by the nurse?

A client is experiencing a panic attack while in an inpatient group room. Which nursing interventions would promote the client's safety? (Select all that apply)

A client with heart failure is taking an angiotensin-converting enzyme inhibitor (ACE-I) and reports a nagging cough. Which replacement medication will the nurse expect to be prescribed for this client?

The nurse is caring for a client who is being discharged after insertion of a permanent pacemaker. The client, an avid tennis player, is scheduled to play in a tournament in one week. What teaching should the nurse provide to the client related to this activity?

The nurse is assessing a client who has a history of right-sided heart failure. Which assessment finding(s) is/are most consistent with this client’s diagnosis? (Select all that apply)

A client prescribed lithium carbonate 300 mg twice daily three months ago comes to the emergency department with mental confusion, ataxia, excessive diluted urine (polyuria), and blurred vision. Which lithium level would the nurse expect?

Which of the four classes of medications used for Generalized Anxiety Disorder (GAD) is considered the safest because of low incidence of side effects and lack of physiological dependence?

A client with generalized anxiety disorder is prescribed buspirone. Which side effect should the nurse include in the client’s education?