A nurse is teaching a client who is to start taking phenelzine for major depressive disorder. Which of the following foods should the nurse teach the client to avoid consuming while taking this medication?

Cheddar cheese

Bananas

Chicken

Peanut butter

Answer and Explanation

The Correct Answer is A

A. Cheddar cheese: Cheddar and other aged cheeses contain high levels of tyramine, which can precipitate a hypertensive crisis when consumed by clients taking MAOIs like phenelzine. Avoiding aged cheeses is critical to prevent severe cardiovascular complications.

B. Bananas: Fresh bananas contain low levels of tyramine and are generally safe to consume in moderation while taking MAOIs. Only overripe bananas with high tyramine content should be limited, but this is less of a concern than aged cheeses.

C. Chicken: Fresh chicken does not contain significant tyramine and is safe to include in the diet while taking phenelzine. Properly cooked and stored poultry does not pose a risk for hypertensive crisis.

D. Peanut butter: Peanut butter contains minimal tyramine and is considered safe for clients on MAOIs. Only improperly stored or aged peanut products might pose a slight risk, making it much less critical than avoiding aged cheeses.

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Free Nursing Study Resources

Correct Answer is ["6.2"]

Explanation

Rationale:

Identify the ordered dose and client weight

Ordered Dose: 0.15 mg/kg

Client Weight: 41 kg

Calculate the dose to administer

Dose to administer = Ordered Dose × Client Weight

Dose to administer = 0.15 × 41

Dose to administer = 6.15 mg

A. Decreased reflexes B. Weight gain of 1.4 kg (3b) C. Increased urinary output D. Jugular vein distention

Correct Answer is A

Explanation

A. Decreased reflexes: Loop diuretics can cause electrolyte imbalances, particularly hypokalemia and hypomagnesemia. Hypokalemia can lead to neuromuscular changes, including decreased reflexes, muscle weakness, and potentially life-threatening cardiac arrhythmias. This is an adverse effect that requires prompt assessment and intervention.

B. Weight gain of 1.4 kg (3 lb): Weight gain in heart failure may indicate fluid retention, but a loop diuretic typically promotes diuresis. A small weight gain of 1.4 kg is not immediately indicative of an adverse effect from the medication itself and may reflect other factors, such as fluid shifts or diet.

C. Increased urinary output: Increased urinary output is the intended therapeutic effect of loop diuretics. It indicates that the medication is working to reduce fluid overload rather than an adverse effect.

D. Jugular vein distention: Jugular vein distention is a sign of fluid overload in heart failure. While it may indicate insufficient therapeutic response, it is not a direct adverse effect of the loop diuretic. Monitoring and adjusting therapy may be necessary, but it is not a medication-related complication.

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A nurse is teaching a client who is to start taking phenelzine for major depressive disorder. Which of the following foods should the nurse teach the client to avoid consuming while taking this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ondansetron 0.15 mg/kg IV bolus every 4 hr. The client weighs 41 kg (92 lb). How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["6.2"]

Explanation

A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication?

Correct Answer is A

Explanation

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