The nurse is providing teaching to a client starting monoamine oxidase inhibitor (MAOI) drug therapy. Which over- the-counter medications should the nurse instruct the client to avoid?

Multivitamins

Laxatives

Cold and allergy medications

Antiulcer medications

Answer and Explanation

The Correct Answer is C

A. Multivitamins: Most multivitamins do not interact significantly with MAOIs unless they contain high levels of tyramine, which is rare. They are generally safe but should still be reviewed by the healthcare provider.
B. Laxatives: Laxatives are not known to have direct interactions with MAOIs. However, excessive use could alter electrolyte balance, which might complicate overall medication management but not specifically with MAOIs.
C. Cold and allergy medications: Many over-the-counter cold and allergy drugs contain sympathomimetic agents like pseudoephedrine, which can cause hypertensive crises. This is because these decongestatnts increase norepinephrine levels while MAOIs prevent the breakdown of norepinephrine. This combination is dangerous and must be strictly avoided.
D. Antiulcer medications: Most antiulcer drugs, such as proton pump inhibitors and H2 blockers, do not significantly interact with MAOIs. They should still be reviewed, but they are not commonly contraindicated.

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Correct Answer is A

Explanation

A. "Life is challenging. I take it as it comes.": This statement reflects psychological hardiness — a resilience trait marked by commitment, control, and seeing stress as a challenge rather than a threat. It shows adaptive coping and a proactive mindset in facing life’s difficulties.
B. "I am making it through and just barely holding on.": This response indicates high stress and limited coping capacity. It suggests the person is overwhelmed, which is inconsistent with hardiness, which involves confidence in managing stress.
C. "I am not able to juggle all of the balls of life.": This reflects perceived helplessness and difficulty managing life's demands. It lacks the sense of control and adaptability associated with a hardy personality.
D. "What can you do, it is what it is.": While this may seem like acceptance, it reflects resignation more than resilience. A hardy individual typically views stressors as manageable and worth engaging with, not passively accepted.

A. Monitor kidney and liver functioning. B. Increase fluid intake to 3000 mL/day. C. Monitor intake and output. D. Limit sodium intake daily. E. Instruct client that it may take up to 6 weeks to reach therapeutic level. F. Monitor for symptoms of nausea, vomiting, muscle weakness, and lack of coordination.

Correct Answer is ["A","B","C","F"]

Explanation

A. Monitor kidney and liver functioning: Lithium is excreted by the kidneys and can cause nephrotoxicity with long-term use. Monitoring kidney function is essential to detect early signs of renal impairment. Liver monitoring may be less emphasized but is often included in general lab panels.
B. Increase fluid intake to 3000 mL/day: Adequate hydration helps maintain stable lithium levels and reduces the risk of toxicity. Dehydration can lead to lithium retention and increase serum concentrations to dangerous levels.
C. Monitor intake and output: Close tracking of fluid balance helps identify dehydration or fluid overload, both of which can impact lithium levels. Intake and output records also support safe dosing and prevent renal complications.
D. Limit sodium intake daily: Sudden sodium restriction can increase lithium reabsorption in the kidneys, raising the risk of toxicity. Consistency in sodium intake is recommended rather than limiting it unnecessarily.
E. Instruct client that it may take up to 6 weeks to reach therapeutic level: Lithium typically reaches steady-state levels in 5–7 days, and clinical improvement often occurs within 1–3 weeks. Six weeks is longer than expected and may delay appropriate follow-up or adjustment.
F. Monitor for symptoms of nausea, vomiting, muscle weakness, and lack of coordination: These are early signs of lithium toxicity and require immediate assessment. Prompt detection prevents progression to more severe neurological and renal complications.

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The nurse is providing teaching to a client starting monoamine oxidase inhibitor (MAOI) drug therapy. Which over- the-counter medications should the nurse instruct the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is consulting with a client who verbalizes extreme stress. When the nurse asks the client how life is, which response represents hardiness in character?

Correct Answer is A

Explanation

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Correct Answer is ["A","B","C","F"]

Explanation

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