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 B

Explanation

A. Giving methylphenidate with food may help alleviate gastrointestinal side effects but is not directly related to sleep disturbances.

B. The timing of medication administration, particularly if methylphenidate is being given too late in the day, can contribute to sleep disturbances.

C. Sleep apnea is a significant concern but is not directly related to the child's sleep disturbances since starting methylphenidate.

D. While school performance may be impacted by sleep disturbances, addressing the timing of medication administration is more directly relevant to the child's sleep issues.

A. Chew sugarless gum to prevent dry mouth B. Expect therapeutic effects in 24 to 48 hours C. Decrease dietary fiber intake to control diarrhea D. Discontinue the medication after a week of improved mood E. Change positions slowly to minimize dizziness

Correct Answer is ["A","E"]

Explanation

Explanation:

A. Imipramine commonly causes dry mouth as a side effect, so chewing sugarless gum can help alleviate this symptom.

B. Therapeutic effects of imipramine may not be felt until after several weeks of treatment, rather than within 24 to 48 hours.

C. Increasing dietary fiber intake can help alleviate constipation, a common side effect of imipramine, rather than decreasing it.

D. Discontinuing antidepressant medication abruptly, especially after a short period, can lead to withdrawal symptoms and a recurrence of depressive symptoms.

E. Imipramine can cause orthostatic hypotension, leading to dizziness upon standing, so changing positions slowly can help minimize this risk.

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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

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The mother of an 8-year-old client who is receiving methylphenidate (Ritalin) tells the nurse the child has not slept well since being started on this drug. Which assessment question is a priority for this client?

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