A nurse is caring for a client on an acute care mental health unit.
The nurse is providing discharge education to the client about their medication. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. When educating the client about their medication, the nurse should teach the client that there is a risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
When educating the client about their medication, the nurse should teach the client that there is a risk for hypertensive crisis due to ingestion of tyramine.
Choice A: Hypertensive Crisis
Reason: Selegiline is a monoamine oxidase inhibitor (MAOI), which can cause a hypertensive crisis if the client ingests foods high in tyramine. Tyramine is found in aged cheeses, smoked meats, and certain alcoholic beverages. When MAOIs inhibit the breakdown of tyramine, it can lead to a sudden and dangerous increase in blood pressure. Normal blood pressure ranges are less than 120/80 mmHg.
Choice B: Tardive Dyskinesia
Reason: Tardive dyskinesia is a movement disorder characterized by involuntary, repetitive body movements. It is typically associated with long-term use of antipsychotic medications, not with MAOIs like selegiline. Therefore, this condition is not relevant to the client’s current medication.
Choice C: Rhabdomyolysis
Reason: Rhabdomyolysis is a serious condition involving muscle breakdown and release of muscle fiber contents into the bloodstream, which can lead to kidney damage. It is not a known side effect of selegiline. This condition is more commonly associated with severe physical exertion, trauma, or certain medications like statins.
Choice D: Infection
Reason: Infection is not a direct risk associated with selegiline. While some medications can suppress the immune system and increase infection risk, selegiline does not have this effect. Therefore, this condition is not applicable to the client’s medication education.
Choice E: Nervous System Instability
Reason: Nervous system instability can refer to a range of symptoms including dizziness, confusion, or seizures. While selegiline can cause some central nervous system side effects, it is not typically associated with a broad category of nervous system instability. The primary concern with selegiline remains the risk of hypertensive crisis due to tyramine ingestion.
Choice A: Hypertensive Crisis
Reason: Selegiline is a monoamine oxidase inhibitor (MAOI), which can cause a hypertensive crisis if the client ingests foods high in tyramine. Tyramine is found in aged cheeses, smoked meats, and certain alcoholic beverages. When MAOIs inhibit the breakdown of tyramine, it can lead to a sudden and dangerous increase in blood pressure. Normal blood pressure ranges are less than 120/80 mmHg.
Choice B: Tardive Dyskinesia
Reason: Tardive dyskinesia is a movement disorder characterized by involuntary, repetitive body movements. It is typically associated with long-term use of antipsychotic medications, not with MAOIs like selegiline. Therefore, this condition is not relevant to the client’s current medication.
Choice C: Rhabdomyolysis
Reason: Rhabdomyolysis is a serious condition involving muscle breakdown and release of muscle fiber contents into the bloodstream, which can lead to kidney damage. It is not a known side effect of selegiline. This condition is more commonly associated with severe physical exertion, trauma, or certain medications like statins.
Choice D: Infection
Reason: Infection is not a direct risk associated with selegiline. While some medications can suppress the immune system and increase infection risk, selegiline does not have this effect. Therefore, this condition is not applicable to the client’s medication education.
Choice E: Nervous System Instability
Reason: Nervous system instability can refer to a range of symptoms including dizziness, confusion, or seizures. While selegiline can cause some central nervous system side effects, it is not typically associated with a broad category of nervous system instability. The primary concern with selegiline remains the risk of hypertensive crisis due to tyramine ingestion.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A client who is experiencing stimulant withdrawal may exhibit symptoms such as fatigue, depression, and increased appetite. While these symptoms can be distressing, they do not typically include seizures. Stimulant withdrawal does not usually necessitate seizure precautions because the risk of seizures is low.
Choice B reason: A client who is experiencing opioid withdrawal may suffer from symptoms like anxiety, muscle aches, sweating, and nausea. Although opioid withdrawal can be very uncomfortable and distressing, it is not commonly associated with seizures. Therefore, seizure precautions are generally not required for opioid withdrawal.
Choice C reason: A client who is experiencing cannabis withdrawal might experience irritability, sleep disturbances, and decreased appetite. Cannabis withdrawal is not typically associated with seizures, so seizure precautions are not necessary for these clients.
Choice D reason: A client who is experiencing alcohol withdrawal is at a significant risk for seizures. Alcohol withdrawal can lead to severe complications such as delirium tremens, which includes symptoms like confusion, hallucinations, and seizures. Implementing seizure precautions for clients undergoing alcohol withdrawal is crucial to prevent injury and manage potential seizures effectively.
Correct Answer is A
Explanation
Choice A reason:
The client's best friend moving away can significantly impact their emotional well-being and stress levels. Emotional support is crucial during recovery from major surgery like coronary artery bypass. The absence of a close friend can lead to feelings of loneliness and increased stress, which can negatively affect the healing process. Stress can elevate cortisol levels, which may impair immune function and slow down recovery. Therefore, the nurse should recognize this factor as a potential interference with the client's recovery.
Choice B reason:
Walking the dog daily is generally beneficial for recovery. Physical activity, such as walking, can improve cardiovascular health, enhance mood, and reduce stress. It helps in maintaining mobility and preventing complications like blood clots. Therefore, this activity is unlikely to interfere with the client's recovery and may actually support it.
Choice C reason:
Stopping coffee consumption can have mixed effects. While reducing caffeine intake might be beneficial for some individuals, abrupt cessation can lead to withdrawal symptoms such as headaches, irritability, and fatigue. These symptoms can add to the client's stress and discomfort during recovery. However, this is generally a temporary issue and not as significant as the emotional impact of losing a close friend.
Choice D reason:
Exercising in the morning is typically a positive habit for recovery. Regular exercise can improve circulation, reduce stress, and enhance overall physical health. It can also help in maintaining a routine and providing a sense of normalcy. Therefore, morning exercise is unlikely to interfere with recovery and is usually encouraged.
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