Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

The client should be advised to avoid aged cheese while taking this medication.

The client should be advised to avoid red wine while taking this medication.

The client may experience hypertensive crisis if aged cheese or red wine are consumed while taking this medication.

The client may experience serotonin syndrome if aged cheese or red wine are consumed while taking this medication.

The client may experience hypotension if aged cheese or red wine are consumed while taking this medication.

Answer and Explanation

Correct Answer : C

The client may experience hypertensive crisis if aged cheese or red wine are consumed while taking this medication. This is because aged cheese and red wine contain tyramine, an amino acid that can cause a dangerous increase in blood pressure when mixed with MAOIs. MAOIs are drugs that inhibit the enzyme that breaks down excess tyramine in the body. A hypertensive crisis can be deadly and requires emergency treatment.

Choice A and B are partially correct, but not complete. The client should be advised to avoid aged cheese and red wine while taking this medication, but this does not explain why or what could happen if they do not.

Choice D is wrong because serotonin syndrome is caused by too much serotonin, not tyramine. Serotonin syndrome can occur when MAOIs are taken with other drugs that increase serotonin levels, such as SSRIs.

Choice E is wrong because hypotension is low blood pressure, not high blood pressure.

Tyramine can cause hypertension, not hypotension. Hypotension can be a side effect of some MAOIs, but it is not related to tyramine intake.

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

Explanation

The client should avoid foods that are high in tyramine while taking phenelzine, which is a monoamine oxidase inhibitor (MAOI) for depression. Tyramine can cause a hypertensive crisis when combined with MAOIs.

Choice B is wrong because shrimp is not high in tyramine and can be safely consumed by the client.

Choice D is wrong because raisins are not high in tyramine and can be safely consumed by the client.

Some examples of foods that are high in tyramine are avocado, cheddar cheese, pepperoni, aged meats, smoked fish, soy sauce, sauerkraut, beer, and red wine.

The normal range for blood pressure is less than 120/80 mmHg.A hypertensive crisis is defined as a systolic blood pressure of 180 mmHg or higher or a diastolic blood pressure of 120 mmHg or higher.The client should monitor their blood pressure regularly and report any signs of a hypertensive crisis, such as severe headache, chest pain, blurred vision, nausea, or confusion.

A. Blood glucose levels B. Serum potassium levels C. Serum lithium levels D. Serum calcium levels.

Correct Answer is C

Explanation

Serum lithium levels should be monitored regularly while taking this medication because lithium has a narrow therapeutic range and can cause toxicity if the levels are too high or ineffective if the levels are too low.The normal range for serum lithium levels is 0.6 to 1.2 mEq/L (0.6 to 1.2 mmol/L).

Choice A is wrong because blood glucose levels are not affected by lithium and do not need to be monitored regularly.

Choice B is wrong because serum potassium levels are not affected by lithium and do not need to be monitored regularly.

Choice D is wrong because serum calcium levels are not affected by lithium and do not need to be monitored regularly.

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Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new prescription for phenelzine for depression. Which of the following foods should the nurse instruct the client to avoid while taking this medication? (Select all that apply.).

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

Explanation

A client with bipolar disorder is prescribed lithium carbonate (Lithobid). Which of the following laboratory values should be monitored regularly while taking this medication?

Correct Answer is C

Explanation

Select all that apply: A client has been prescribed an MAOI for depression and reports eating aged cheese and drinking red wine at dinner last night.

A nurse is caring for a client who has bipolar disorder and is taking lithium carbonate (Lithobid). Which of the following laboratory tests should be monitored periodically while the client is taking this medication?

A nurse is caring for a client who has bipolar disorder and is prescribed lamotrigine (Lamictal). Which of the following instructions should be included in the teaching? (Select all that apply.)

A nurse is providing discharge teaching to a client who has a new prescription for imipramine (Tofranil). Which of the following instructions should the nurse include in the teaching?

A nurse is teaching a client who has been prescribed hydroxyzine (Vistaril) for anxiety and pruritus due to an allergic reaction. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who has been taking lorazepam (Ativan) for anxiety and insomnia for several months. The client tells the nurse that he wants to stop taking the medication because he feels better now. Which of the following responses should the nurse give?

A client is prescribed clozapine (Clozaril). The nurse should closely monitor the client for which potential adverse effect?

A nurse is caring for a client who has schizophrenia and is taking risperidone (Risperdal). Which of the following findings should alert the nurse to a potential adverse effect of this medication? (Select all that apply.)