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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Clozapine requires regular monitoring of the white blood cell count due to the risk of agranulocytosis, a potentially serious side effect.
B. While potassium levels are important, they are not the primary concern with clozapine administration.
C. BUN/Creatinine levels are monitored for kidney function but are not specific to clozapine.
D. Sodium levels are not the primary concern with clozapine administration.

A. "I will notify the physician." B. "You may have become addicted to this drug." C. "This is part of your schizophrenia disease process." D. "This is normal while taking this drug and will soon go away."

Correct Answer is A

Explanation

A. Muscle spasms, especially in the face and neck, can be a sign of tardive dyskinesia or acute dystonia, which are serious side effects of chlorpromazine (an antipsychotic). It is important to notify the physician for further evaluation and potential treatment adjustments.
B. Addiction is not a common issue with chlorpromazine; muscle spasms are more likely to be side effects rather than signs of addiction.
C. Muscle spasms are not part of the schizophrenia disease process but are rather side effects of the medication.
D. These symptoms are not considered normal and require medical assessment. They may not resolve on their own and could need intervention.

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The nurse understands which of the following clients with depression are appropriate for phenelzine [Nardil]?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a medical prescription for clozapine [Clozaril]. The nurse knows which of the following is the priority laboratory value that should be reviewed prior to medication administration?

Correct Answer is A

Explanation

A client diagnosed with schizophrenia is on drug treatment (chlorpromazine) and states, "I recently started having muscle spasms in my face and neck." Which of the following is the nurse's best response?

Correct Answer is A

Explanation

Which of the following medications is administered during an acute ST-elevation myocardial infarction and continued indefinitely after?

The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?

The nurse is teaching a client who has been diagnosed with hyperlipidemia about medication therapy. Which of the following medications should the nurse include in the teaching?

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A client has been diagnosed with a life-threatening recurrent ventricular fibrillation that has not responded to other medications or defibrillation. Which of the following does the nurse anticipate will be prescribed next?

The nurse understands which of the following clients with depression are appropriate for phenelzine [Nardil]?

A client is taking a calcium channel blocker (CCB). The nurse knows to monitor for which of the following dangerous side effects of this medication?

A patient has been brought to the emergency department by ambulance experiencing blood pressure 200/130 mmHg with chest pain. The nurse anticipates which of the following medications for immediate treatment of hypertension (Select all that apply.)