The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

Discuss how food can increase the symptoms of depression

Arrange for admittance to the psychiatric unit

Discuss the effects of wine on the action of antidepressants

Assess the client's blood pressure

Answer and Explanation

The Correct Answer is D

Explanation:

A. Discussing how food can increase the symptoms of depression is not the priority in this situation; the immediate concern is the interaction between phenelzine and wine.

B. Admitting the client to the psychiatric unit is not necessary based solely on the consumption of wine with phenelzine; assessing the client's condition is the priority.

C. Discussing the effects of wine on the action of antidepressants is important, but assessing the client's current status takes precedence.

D. Assessing the client's blood pressure is the priority action because phenelzine is an MAOI, and consuming wine while taking MAOIs can lead to a hypertensive crisis.

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Correct Answer is D

Explanation

A. Eggs are not typically restricted while taking phenelzine (Nardil).

B. Onions are not typically restricted while taking phenelzine (Nardil).

C. Apples are not typically restricted while taking phenelzine (Nardil).

D. Aged cheeses contain tyramine, which can interact with monoamine oxidase inhibitors like phenelzine (Nardil) and potentially lead to hypertensive crisis.

A. The avoidance of tyramine-containing foods. B. That sexual dysfunction is one of the most common adverse effects. C. The signs and symptoms of hypertension. D. That tremors are a common adverse effect.

Correct Answer is B

Explanation

A. Avoiding tyramine-containing foods is relevant for patients taking MAOIs, not SSRIs.

B. Sexual dysfunction, including decreased libido and difficulty achieving orgasm, is one of the most common adverse effects of SSRIs and should be discussed during patient education.

C. Signs and symptoms of hypertension are not directly related to SSRIs; they may occur with other medications or conditions.

D. Tremors are not as common with SSRIs compared to other classes of antidepressants such as tricyclic antidepressants.

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The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is taking phenelzine (Nardil). The nurse teaches her to avoid eating:

Correct Answer is D

Explanation

Patient education for the patient started on a selective serotonin reuptake inhibitor would include:

Correct Answer is B

Explanation

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