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","B","C","D"]
Explanation
A. Sublingual nitroglycerin tablets should be placed under the tongue and allowed to dissolve to ensure proper absorption.
B. The medication should be kept in its original container to protect it from heat and light, which can degrade its effectiveness.
C. Nitroglycerin should be replaced regularly when it is past its expiration date to ensure its efficacy.
D. Taking nitroglycerin while lying or sitting can help prevent dizziness or fainting, and patients should change positions slowly to avoid orthostatic hypotension.
E. A headache is a common side effect of nitroglycerin, and it should not necessarily lead to discontinuation of the medication without consulting a healthcare provider.
Correct Answer is C
Explanation
A. Blood pressure improvement is not the primary goal for nitroglycerin patches, which are more focused on managing angina.
B. While the medication is effective in reducing angina, complete elimination of anginal attacks is not always expected.
C. Effective management of angina would be indicated by the client’s ability to tolerate exercise without pain.
D. Headaches are a common side effect of nitroglycerin and do not necessarily indicate the effectiveness of the medication in managing angina.
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