A nurse is caring for a client who has a new prescription of phenelzine (Nardil) for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

Hearing loss

Orthostatic hypotension

Weight loss

Gastrointestinal bleeding

Answer and Explanation

The Correct Answer is B

A. Hearing loss is not a common adverse effect of phenelzine (Nardil).

B. Orthostatic hypotension is a common adverse effect of phenelzine due to its monoamine oxidase inhibitor (MAOI) activity, leading to decreased blood pressure upon standing.

C. Weight loss is not a common adverse effect of phenelzine and may be more indicative of other factors or conditions.

D. Gastrointestinal bleeding is not a common adverse effect of phenelzine.

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Correct Answer is A

Explanation

A. Fever is one of the hallmark symptoms of serotonin syndrome, along with other signs such as agitation, confusion, rapid heart rate, dilated pupils, and sweating.

B. Tinnitus is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

C. Bruising is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

D. Rash is not a typical symptom of serotonin syndrome but may indicate other issues or side effects.

A. Eggs B. Onions C. Apples D. Aged cheeses

Correct Answer is D

Explanation

A. Eggs are not typically restricted while taking phenelzine (Nardil).

B. Onions are not typically restricted while taking phenelzine (Nardil).

C. Apples are not typically restricted while taking phenelzine (Nardil).

D. Aged cheeses contain tyramine, which can interact with monoamine oxidase inhibitors like phenelzine (Nardil) and potentially lead to hypertensive crisis.

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A nurse is caring for a client who has a new prescription of phenelzine (Nardil) for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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