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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Shaving excess hair from the skin before applying a nitroglycerin patch helps ensure proper adhesion and absorption of the medication.

B. Used nitroglycerin patches should be folded with the medication area to the inside and disposed of in a manner that prevents accidental exposure to others.

C. Nitroglycerin patches are typically worn for a specified duration, often 12 to 14 hours, before being removed and replaced with a new patch.

D. Using multiple nitroglycerin patches simultaneously is not recommended and could lead to overdose.

A. To inhibit peptic ulcer disease B. To decrease platelet aggregation C. To reduce emphysema D. To decrease carbon dioxide retention

Correct Answer is B

Explanation

A. Aspirin is not primarily used to inhibit peptic ulcer disease; it is used to prevent cardiovascular events by decreasing platelet aggregation.

B. Aspirin decreases platelet aggregation, making it useful in preventing clot formation in conditions such as angina and myocardial infarction.

C. Aspirin is not used to reduce emphysema; it is primarily used for its antiplatelet effects.

D. Aspirin does not directly decrease carbon dioxide retention; its primary mechanism of action in cardiovascular disease is through antiplatelet effects.

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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

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?

Correct Answer is A

Explanation

Aspirin may be used in the treatment of angina and MI for which of the following reasons?

Correct Answer is B

Explanation

A client has been prescribed diltiazem (Cardizem), and asks the nurse what type of drug this is. Which response by the nurse is most appropriate?

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

The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.)

The nurse has just completed medication teaching regarding medications used to treat high cholesterol. Which statement made by the client indicates a need for further teaching?

An older patient has a prescription for sertraline (Zoloft) 25 mg/day, P O. to be taken for 1 week and then increased to 50 mg/day the second week. The pharmacy gives the patient 50-mg tablets. How many tablets will the patient take per day during the first week?

A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

A nurse is reinforcing teaching to a client who has a new prescription for imipramine (Tofranil) for treatment of depression. Which of the following should the nurse reinforce in the teaching? (Select all that apply)

The nurse is describing angina to a family member of a client recently diagnosed with the condition. Which characterization of angina is the most appropriate?