A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Somnolence
Diarrhea
Bradycardia
Hypertension
The Correct Answer is D
Monoamine oxidase inhibitors (MAOIs) block the enzyme monoamine oxidase, which is responsible for breaking down tyramine in the body. When taking MAOIs, consuming high-tyramine foods can cause tyramine levels to reach dangerous levels, leading to a serious spike in blood pressure. It's important to follow a low-tyramine diet while on MAOIs and for a few weeks after stopping the medication to prevent a hypertensive crisis. The interaction has no effect on bowel habits, or arousal/wakefulness
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Diuretics decrease potassium reabsorption in the renal tubules leading to urinary loss. hypokalemia can lead to an apparent overdose of digoxin even if the dose is within the therapeutic range. taking a high ceiling diuretic leads to hypokalemia which worsens digoxin toxicity. It is essential to monitor potassium levels in clients taking digoxin to prevent complications.
B, C, D- These histories do not predispose to digoxin toxicity
Correct Answer is D
Explanation
Rifampin, an antibiotic used to treat bacterial infections, can cause a reddish-orange discoloration of body fluids, including urine. This color change is due to the presence of rifampin metabolites, which are eliminated through the urine. The discoloration is a harmless side effect and is considered normal while taking the medication. It causes decreased effectiveness of oral contraceptives
A- Rifampin is an enzyme inducer that increases the rate of metabolism of oral contraceptive pills.
This leads to subtherapeutic levels that increases the risk of pregnancy.
B- The prescription may vary
C- Rifampin causes staining of contact lens and should, therefore, be avoided
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