A patient is taking a monoamine oxidase inhibitor for depression. In planning care for this patient, the nurse knows that a hypertensive crisis may be possible and plans on having what drug on hand as an antidote?

Meperidine (Demerol)

Calcium channel blockers

Carbamazepine (Tegretol)

Dextromethorphan

Answer and Explanation

The Correct Answer is B

A. Meperidine is contraindicated with monoamine oxidase inhibitors (MAOIs) and can lead to serotonin syndrome rather than being an antidote for hypertensive crisis.

B. Calcium channel blockers, such as nifedipine, are commonly used as antidotes for hypertensive crisis associated with MAOI use.

C. Carbamazepine is not indicated for the treatment of hypertensive crisis associated with MAOI use.

D. Dextromethorphan is contraindicated with MAOIs due to the risk of serotonin syndrome.

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Correct Answer is B

Explanation

Explanation:

A. Beta blockers are used to manage blood pressure and heart rate but are a different class.

B. Isosorbide is a nitrate, which is used primarily to treat and prevent episodes of angina by relaxing and widening blood vessels.

C. Calcium channel blockers also manage blood pressure and chest pain but act through a different mechanism.

D. Glycoprotein IIb/IIIa receptor antagonists are used to prevent platelet aggregation and are typically used in acute coronary syndrome, not as a long-term treatment for angina.

A. Restrict fluid intake to 1.5 liters/day B. Administer a loop diuretic C. Administer an additional dose of lithium D. Prepare the client for hemodialysis

Correct Answer is D

Explanation

Explanation:

A. Restricting fluid intake is not the appropriate action for a high lithium level.

B. Administering a loop diuretic is not appropriate for treating lithium toxicity.

C. Administering an additional dose of lithium would worsen the toxicity and is contraindicated.

D. Hemodialysis is the treatment of choice for severe lithium toxicity to rapidly remove excess lithium from the bloodstream.

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A patient is taking a monoamine oxidase inhibitor for depression. In planning care for this patient, the nurse knows that a hypertensive crisis may be possible and plans on having what drug on hand as an antidote?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following drug classes does isosorbide (Isordil) belong to?

Correct Answer is B

Explanation

A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A client has been prescribed several medications. Which medication is a beta blocker?

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