Nokea
The nurse knows that the client understands the rationale for dietary restrictions when taking MAOI when the client makes which of the following statements?
- A. I am now allergic to foods that are high in the amino acid tyramine such as aged cheese, organ meats, wine, and chocolate.
- B. Certain foods will cause me to have sexual dysfunction when I take this medication.
- C. Foods that are high in tyramine will reduce the medication's effectiveness.
- D. I should avoid foods that are high in the amino acid tyramine such as aged cheese, meats, and chocolate because this drug causes the level of tyramine to go up to dangerous levels.
Correct Answer: D
Rationale: MAOIs inhibit the enzyme that breaks down tyramine, leading to increased serum tyramine levels, which can cause severe hypertension and other symptoms. The correct statement reflects understanding of the need to avoid tyramine-rich foods to prevent dangerous reactions.
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An abnormality of which of the following structures of the cerebrum would be associated with schizophrenia?
- A. Parietal lobes
- B. Frontal lobe
- C. Occipital lobe
- D. Temporal lobes
Correct Answer: B
Rationale: Abnormalities in the frontal lobes are associated with schizophrenia, attention deficit hyperactivity disorder (ADHD), and dementia. The parietal lobes interpret sensations of taste and touch and assist in spatial orientation. The temporal lobes are centers for the senses of smell and hearing and for memory and emotional expression. The occipital lobe assists in coordinating language generation and visual interpretation, such as depth perception.
The nurse has completed health teaching about dietary restrictions for a client taking a monoamine oxidase inhibitor. The nurse will know that teaching has been effective by which of the following client statements?
- A. I'm glad I can eat pizza since it's my favorite food.
- B. I must follow this diet or I will have severe vomiting.
- C. It will be difficult for me to avoid pepperoni.
- D. None of the foods that are restricted are part of a regular daily diet.
Correct Answer: C
Rationale: Pepperoni contains tyramine, which must be avoided when taking MAOIs to prevent hypertensive crisis, indicating effective understanding of dietary restrictions.
Which of the following medications rarely causes extrapyramidal side effects (EPS)?
- A. Ziprasidone (Geodon)
- B. Chlorpromazine (Thorazine)
- C. Haloperidol (Haldol)
- D. Fluphenazine (Prolixin)
Correct Answer: A
Rationale: Atypical antipsychotics like ziprasidone rarely cause EPS compared to first-generation antipsychotics like chlorpromazine, haloperidol, and fluphenazine.
Which of the following antidepressant drugs is a preferred drug for clients at high risk of suicide?
- A. Tranylcypromine (Parnate)
- B. Sertraline (Zoloft)
- C. Imipramine (Tofranil)
- D. Phenelzine (Nardil)
Correct Answer: B
Rationale: SSRIs like sertraline are preferred for clients at high risk of suicide because they carry no risk of lethal overdose, unlike MAOIs (Parnate, Nardil) or tricyclic antidepressants (Tofranil).
A client has a lithium level of 1.2 mEq/L. Which of the following interventions by the nurse is indicated?
- A. Call the physician for an increase in dosage.
- B. Do not give the next dose, and call the physician.
- C. Increase fluid intake for the next week.
- D. No intervention is necessary at this time.
Correct Answer: D
Rationale: A lithium level of 1.2 mEq/L is within the therapeutic range (0.5-1.5 mEq/L), so no intervention is necessary.