NU102 EXAM #2 MAOI

A nurse is assessing a client who takes phenelzine for treatment of depression. Which of the following findings is the priority for the nurse to report to the provider? 1. Elevated blood pressure 2. Weight gain 3. Muscle twitching 4. 2+ peripheral edema

1. Elevated blood pressure

A client was prescribed a monoamine oxidase inhibitor (MAOI) for the treatment of depression. Which comment by the client indicates adequate understanding of the dietary restrictions that apply? 1. I cannot eat avocados or bananas. 2. I can eat sausage for breakfast, but not bacon. 3. At least I can still have my beer. 4. I can have blue cheese on my salad but not ranch dressing.

1. I cannot eat avocados or bananas.

The client diagnosed with depression is prescribed phenelzine (Nardil), a monoamine oxidase (MAO) inhibitor. Which statement by the client indicates to the nurse the medication teaching is effective? 1. "I am taking the herb ginseng to help my attention span" 2. "I drink extra fluids, especially coffee and iced tea" 3. "I am eating three well-balanced meals a day" 4. "At a family cookout I had chicken instead of a hotdog"

4. "At a family cookout I had chicken instead of a hotdog"

A nurse is assessing a client who has a new prescription for phenelzine for the treatment of depression. Which of the following findings can indicate the client has developed an adverse effect of this medication? A Orthostatic hypotension B Hearing loss C Gastrointestinal bleeding D Weight loss

A Orthostatic hypotension

The psychiatric-mental health nurse is providing care for several clients. Which client should the nurse monitor most closely for adverse medication effects?

A client with depression who is prescribed paroxetine 15 mg PO daily

A client diagnosed with depression is being treated with Phenelzine (Nardil). The nurse should teach the client to avoid which of the following foods? Aged cheese Rice Oranges Chicken

Aged cheese

A client has been prescribed phenelzine sulfate. When providing teaching, which food should the nurse instruct the client to avoid eating? A. Salami B. Ice cream C. Leafy greens D. Apples

A. Salami

Which instruction does the nurse include when teaching a patient about phenelzine [Nardil] therapy? (Select all that apply.) A "Take the medication as needed when you are feeling depressed." B "If you experience a severe headache, inform your healthcare provider." C "Profuse sweating is an expected side effect of this medication and will diminish with time." D "Ginseng can be used to treat headache, which patients often experience when they first take phenelzine." E "Avoid eating avocados when taking this drug."

B "If you experience a severe headache, inform your healthcare provider." E "Avoid eating avocados when taking this drug."

What assessment is most important for the practical nurse (PN) to obtain prior to initiating medication therapy with phenelzine (Nardil) for a client with depression? A) Activity level. B) Mood and affect. C) Understanding of diet modification. D) The client's support system.

C) Understanding of diet modification.

The nurse is preparing a client for discharge who is taking phenelzine. The nurse instructs the client that which foods cause serious complications? (Select all that apply.)

Deer meat Shrimp Fava beans

The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is most important for the nurse to assess? a. Consumption of any alcohol or tyramine-rich foods. b. Reports of nausea or vomiting. c. Therapeutic serum drug levels. d. Blood pressure and pulse prior to taking each dose.

a. Consumption of any alcohol or tyramine-rich foods.

A nurse educating a client starting phenelzine should educate the client to avoid which foods? (Select all that apply.) A. Chocolate B. Celery C. Blue cheese D. Pepperoni E. Apples

a. chocolate c. Blue cheese d. pepperoni

A 30-year-old client is taking phenelzine 30mg PO tid. The nurse knows that at that dosage, the client will need to be carefully monitored for which? A. Facial flushing B. Dizziness C. Diarrhea D. Increased secretions

b. dizziness

A client with a longstanding diagnosis of depression is being treated with phenelzine. The client reports the recent use of some over-the-counter flu and cold remedies and has consequently been admitted for observation and client teaching. What assessment should the nurse prioritize? A. Pain assessment B. Pulse oximetry C. Blood pressure monitoring D. Monitoring the client for tardive dyskinesia

c. bp monitoring

The nurse is preparing to administer phenelzine [Nardil] to a patient with depression. Why is this drug considered a second- or third-line agent in the treatment of depression? a. It increases the risk of suicide in the early phase. b. It is less effective than the tricyclic antidepressants. c. It increases the risk of psychoses and Parkinson. d. It has more side effects and drug interactions.

d. It has more side effects and drug interactions.

The nurse is aware that which medication taken by a client for treatment of mood disorder requires a diet that restricts the amount of tyramine eaten? A. Triazolam B. Diazepam C. Paroxetine D. Phenelzine

d. phenelzine

a nurse is providing teaching for a client who has a prescription for phenelzine. the nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions?

hypertensive crisis

A 22-year old college student presented to the ER with hypertension (BP= 200/110), tachycardia, cramping, hyperreflexia, and myoclonus. He was taking phenelzine (Nardil) and had been out to a restaurant with friends. What is the most likely food/drink that could have interacted with the medication?

red wine