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. The CDC is involved in public health and disease control but does not regulate controlled substances.
B. HIPAA pertains to the privacy and security of health information, not drug regulation.
C. The Controlled Substances Act (CSA) regulates the scheduling and control of substances that have the potential for abuse and dependency, including drugs in Schedules I through V.
D. The FDA oversees the approval and regulation of medications but does not regulate controlled substances specifically by scheduling.
Correct Answer is C
Explanation
A. While dabigatran has limited options for reversal, educating the client about not abruptly discontinuing the medication is more critical to prevent thrombotic events.
B. Blood in the urine and stool is not normal and would indicate a possible complication, not a normal effect.
C. Abrupt discontinuation of dabigatran can lead to an increased risk of thromboembolism. It is crucial to educate the client about the importance of maintaining consistent use of the medication.
D. Dabigatran does not have significant food interactions that would be the priority concern over the risk of abrupt discontinuation.
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