A nurse is assisting in the care of a client in an outpatient mental health clinic.
Click to highlight the findings that indicate the client is experiencing adverse effects of the medication. To deselect a finding, click on the finding again.
Nurses' Notes
Today:
Client states, "I'm feeling much better." They report less fatigue, even though they have difficulty sleeping. Client reports they are not sad anymore but are experiencing more frequent headaches. Client continues to deny any suicidal ideation.
Vital Signs
Today:
Blood pressure 169/91 mm Hg
Heart rate 78/min
Respiratory rate 18/min
even though they have difficulty sleeping
experiencing more frequent headaches
Blood pressure 169/91 mm Hg
Client continues to deny any suicidal ideation
Heart rate 78/min
Respiratory rate 18/min
The Correct Answer is ["A","B","C"]
- Frequent headaches: Phenelzine, an MAOI, can cause hypertensive crisis, with one of the earliest signs being persistent or worsening headaches. Frequent headaches must be treated as a possible warning of dangerously elevated blood pressure and require immediate provider notification.
- Elevated blood pressure (169/91 mm Hg): The significant rise in the client's blood pressure compared to baseline indicates new-onset hypertension. This is a serious adverse effect associated with MAOIs and signals the potential development of a hypertensive crisis, which must be urgently addressed.
- Difficulty sleeping: Difficulty sleeping or insomnia is a common side effect of phenelzine and other antidepressants. Although not life-threatening, insomnia can impair recovery if untreated and should be documented and discussed with the provider to adjust management if needed.
- Feeling much better: Improvement in mood and reduced fatigue are intended therapeutic outcomes of phenelzine treatment. These findings are positive signs and do not indicate an adverse reaction that needs intervention.
- Heart rate 78/min and respiratory rate 18/min: Both values are within normal ranges and do not suggest immediate concerns related to cardiovascular or respiratory function. They should continue to be monitored but do not require urgent action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Anuria: Anuria, or the absence of urine output, indicates severe dehydration or acute renal failure rather than moderate dehydration. Moderate dehydration usually presents with decreased but not absent urine output, as the body still tries to conserve fluids.
B. A 7% weight loss from baseline: A weight loss of 6% to 9% of body weight is consistent with moderate dehydration in infants and children. This measurable sign is a critical and objective indicator used to assess the severity of dehydration, particularly following prolonged vomiting or diarrhea.
C. Hyperpnea: Hyperpnea, or abnormally deep and rapid breathing, can be seen in cases of severe dehydration or metabolic acidosis. It is not a classic finding of moderate dehydration, where respiratory patterns are usually normal or only mildly affected.
D. Lethargy: Lethargy typically suggests severe dehydration rather than moderate. In moderate dehydration, the infant may be irritable or thirsty but usually maintains normal mental status without profound decreases in responsiveness or alertness.
Correct Answer is D
Explanation
A. "You will receive moderate sedation prior to the procedure.": Moderate sedation is not typically required for a thoracentesis. Instead, local anesthesia is used at the puncture site to minimize discomfort. The client remains awake, able to follow instructions, and does not require the same level of monitoring associated with moderate sedation.
B. "You will need to lie on your affected side for 30 minutes following the procedure.": After a thoracentesis, clients are usually positioned on the unaffected side to allow the lung on the affected side to re-expand and to minimize the risk of complications such as pneumothorax. Lying on the affected side could worsen the client's condition post-procedure.
C. "You will not be able to eat or drink four hours prior to the procedure.": Thoracentesis is not a gastrointestinal or airway procedure that necessitates fasting beforehand. Clients are typically allowed to eat and drink normally unless another procedure requiring fasting is planned, as the risk of aspiration is minimal with thoracentesis.
D. "You will be placed leaning over a bedside table during the procedure.": Clients undergoing thoracentesis are positioned sitting upright, leaning slightly forward over a bedside table with pillows for support. This position helps spread the ribs apart and provides the best access to the pleural space while minimizing the risk of lung injury.
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