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 C
Explanation
A. Propranolol does not typically elevate potassium levels, and salt supplements are not contraindicated.
B. Yellow or blurred vision is not commonly associated with propranolol use but with digoxin toxicity.
C. Abrupt discontinuation of propranolol can lead to rebound hypertension, tachycardia, or exacerbation of angina, so it should be tapered off under medical supervision.
D. Grapefruit juice does not significantly interact with propranolol.
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.
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