The nurse understands which of the following clients with depression are appropriate for phenelzine [Nardil]?
Clients with new onset signs and symptoms of schizophrenia.
Clients who have not responded to SSRIS and TCAs.
In combination with an SSRI for clients with increased symptoms.
Postpartum depression and lactating clients.
The Correct Answer is B
A. Phenelzine is not indicated for the treatment of schizophrenia.
B. Phenelzine, a monoamine oxidase inhibitor (MAOI), is typically reserved for clients with depression who have not responded to first-line treatments such as SSRIs and TCAs.
C. Combining an SSRI with an MAOI like phenelzine is contraindicated due to the risk of serotonin syndrome.
D. Phenelzine is generally not recommended for postpartum depression, especially in lactating clients, due to potential risks to the infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Diluting liquid iron preparations with juice or water and using a straw can help prevent staining of the teeth and improve absorption.
B. Dairy products can inhibit iron absorption, so they should be avoided when taking iron supplements.
C. Green or black stools are a common side effect of iron supplements and do not typically require notifying the provider unless there are additional concerns.
D. Citrus juices, such as orange juice, can actually enhance iron absorption and are often recommended to be taken with iron supplements.
Correct Answer is D
Explanation
A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.
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