Exam #2 Question&answer

A health care professional should advise a patient who is taking phenelzineu (Nardil) to avoid tyramine-enriched foods because of an increase risk of which of the following adverse reaction? 1. Serotonin syndrome 2. Neuroleptic malignant syndrome 3. Hypertensive crisis 4. Respiratory depression {Ans: Answer 3. Rationale: Tyramine-enriched foods, such as aged cheese and processed meat, can trigger severe hypertension in patients who are taking phenelzine. Manifestations include hypertension, headache, and nausea.}A 16 year old client has taken an overdosage of citalopram (Celexa) and is brought to the emergency department. What symptoms would the nurse expect to be present? 1. seizures, hypertension, tachycardia, extreme anxiety 2. hypotension, bradycardia, hypothermia, sedation 3. miosis, respiratory depression, absent bowel sounds, hypoactive reflexes 4. manic behavior, paranoia, delusions, tremors {Ans: Answer 1. Rationale: An overdose of citalopram (Celexa) causes symptoms similar to serotonin syndrome including seizures, hypertension, tachycardia, and extreme anxiety. Options 2, 3, and 4 are incorrect. These are not symptoms of an SSRI overdose.}A health care professional is caring for a patient who is taking lithium carbonate (Lithobid) to treat bipolar disorder. Which of the following diagnostic tests should the health care professional recommend periodically for the patient? 1. Chest X-ray