Nokea
A client is prescribed a monoamine oxidase inhibitor (MAOI) for depression. During the initial interview, with the client, the nurse understands that the client is also receiving an adrenergic agent. The nurse would be alert for which of the following?
- A. Increased risk for hypertensive episodes
- B. Increased risk for severe convulsions
- C. Increased risk for hyperpyretic episodes
- D. Increased risk for cardiac arrhythmias
Correct Answer: D
Rationale: MAOIs combined with adrenergic agents can lead to cardiac arrhythmias due to excessive catecholamine activity.
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A client is prescribed paroxetine. When teaching the client about this drug, which of the following would the nurse include as a possible adverse reaction?
- A. Sexual dysfunction
- B. Insomnia
- C. Somnolence
- D. Diarrhea
- E. Constipation
Correct Answer: A,B,C,D,E
Rationale: Paroxetine, an SSRI, may cause a wide range of side effects including sexual dysfunction, insomnia, somnolence, diarrhea, and constipation.
A nurse understands that the antidepressant drug paroxetine (Paxil) can be used to treat which of the following medical conditions?
- A. Enuresis
- B. Depressive episodes
- C. Anorexia
- D. Obsessive-compulsive disorders
- E. Bulimia nervosa
Correct Answer: B,D,E
Rationale: Paroxetine, an SSRI, is indicated for depressive episodes, obsessive-compulsive disorder, and bulimia nervosa due to its serotonin-modulating effects.
A nurse is caring for an individual who is to receive antidepressant therapy on an outpatient basis. What precaution should the nurse suggest to prevent risk of injury if the client experiences dizziness when getting out of bed?
- A. Strictly avoid movements if dizziness occurs
- B. Rise slowly when getting out of bed
- C. Have breakfast before getting out of bed
- D. Have a glass of water to overcome dizziness
Correct Answer: B
Rationale: Rising slowly helps prevent orthostatic hypotension, a common side effect of antidepressants that can cause dizziness.
A nurse caring for a client taking amitriptyline for depression should monitor the client for which of the following adverse events?
- A. Sedation
- B. Diarrhea
- C. Incontinence
- D. Dry mouth
- E. Photosensitivity
Correct Answer: A,D,E
Rationale: Tricyclic antidepressants like amitriptyline commonly cause sedation, dry mouth, and photosensitivity as side effects due to their anticholinergic and antihistaminic properties.
After teaching a group of nursing students about the action of antidepressants, the instructor determines that the teaching was successful when the students identify which of the following classes as exerting their effects by inhibiting reuptake of norepinephrine and serotonin?
- A. Amitriptyline
- B. Bupropion
- C. Clomipramine
- D. Duloxetine
- E. Venlafaxine
Correct Answer: A,C
Rationale: Tricyclic antidepressants like amitriptyline and clomipramine inhibit the reuptake of norepinephrine and serotonin, increasing their availability in the synaptic cleft.