Exam #2 Question&answer

Which of the following would be a priority component of the teaching plan for a client prescribed phenelzine (Nardil) for treatment of depression? 1. headaches may occur. OTC medications will usually be effective 2. hyperglycemia may occur and any unusual thirst, hunger, or urination should be reported 3. read labels of food and OTC drugs to avoid those with substances that should be avoided as directed 4. monitor BP for hypotension and report any BP below 60/90 {Ans: Answer 3. Rationale: Phenelzine (Nardil) is an MAOI. The class of drugs has many drug and food interactions that may cause a hypertensive crisis. A list of foods, beverages, and medications to avoid should also be given to the patient. Option 1, 2, and 4 are incorrect. Headaches, especially if severe, may signal the beginning of a hypertensive crisis and any severe or increasing headache should be reported immediately. MAOIs are not known to cause hyperglycemia and other causes should be investigated if it occurs. The use of CNS depressants, including narcotics, along with an MAOI may cause profound hypotension, but the risk of hypertensive crisis is much greater and would have priority for teaching.}Because of the potential for adverse effects,