Nokea
A nurse is caring for a client who has been prescribed a monoamine oxidase inhibitor (MAOI). Which of the following should the nurse instruct the client to avoid?
- A. Milk
- B. Butter
- C. Rice
- D. Yogurt
Correct Answer: D
Rationale: Yogurt contains tyramine, which can interact with MAOIs to cause hypertensive crisis; milk, butter, and rice are safe.
You may also like to solve these questions
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.
A nurse is caring for a client with depression. The client has been prescribed amitriptyline. Which of the following would the nurse integrate into the teaching for the client about how the drug works?
- A. Decreased reuptake of norepinephrine
- B. Increased serotonin in the nervous system
- C. Increased endogenous norepinephrine
- D. Increased endogenous epinephrine
Correct Answer: A
Rationale: Amitriptyline, a tricyclic antidepressant, works by decreasing the reuptake of norepinephrine, increasing its availability in the synapse.
A nurse determines the need to administer a prescribed antidepressant in the morning because of the increased likelihood of insomnia. Which drug would this most likely be?
- A. Amitriptyline
- B. Bupropion
- C. Citalopram
- D. Paroxetine
- E. Sertraline
Correct Answer: C,D,E
Rationale: SSRIs like citalopram, paroxetine, and sertraline are more likely to cause insomnia, making morning administration preferable.
When assessing a client for depression, which of the following would the nurse most likely find?
- A. Drowsiness
- B. Extreme sadness
- C. Severe headache
- D. Dilated pupils
Correct Answer: B
Rationale: Extreme sadness is a hallmark symptom of depression, distinguishing it from side effects like drowsiness or symptoms of other conditions like hypertensive crisis.
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.