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 D
Explanation
A. Hydralazine (Apresoline) is an antihypertensive medication and is not treated with protamine sulfate.
B. Diphenhydramine (Benadryl) is an antihistamine, and protamine sulfate is not used for its overdose.
C. Coumadin (Warfarin) is an anticoagulant, but protamine sulfate specifically reverses heparin, not warfarin.
D. Protamine sulfate is an antidote used to reverse the effects of heparin, a blood thinner.
Correct Answer is D
Explanation
A. Adding another drug is premature; fluoxetine may need more time to show effects.
B. While some antidepressants may show effects in 1-3 weeks, fluoxetine typically requires a full 4-6 weeks to demonstrate its therapeutic effects.
C. Switching to another antidepressant after only one week may be premature; fluoxetine often takes longer to be effective.
D. Antidepressants like fluoxetine generally take 4-6 weeks to show significant effects, so patience is necessary for the medication to reach its full potential.
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