Nokea
When teaching a client about restrictions for tranylcypromine (Parnate), the nurse will tell the client to avoid which of the following foods?
- A. Broad beans
- B. Citrus fruit
- C. Egg products
- D. Fried foods
Correct Answer: A
Rationale: Broad beans (fava beans) contain tyramine, which must be avoided when taking MAOIs like tranylcypromine to prevent hypertensive crisis.
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A client who is taking paroxetine (Paxil) reports to the nurse that he has been nauseated since beginning the medication. Which of the following actions is indicated initially?
- A. Instruct the client to stop the medication for a few days to see if the nausea goes away.
- B. Reassure the client that this is an expected side effect that will improve with time.
- C. Suggest that the client take the medication with food.
- D. Tell the client to contact the physician for a change in medication.
Correct Answer: C
Rationale: Taking SSRIs like paroxetine with food usually eliminates nausea, making this the initial recommended action.
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.
A patient with bipolar disorder takes lithium 300 mg three times daily. The nurse evaluates that the dose is appropriate when the patient reports
- A. Feeling sleepy and less energetic.
- B. Weight gain of 7 pounds in the last month.
- C. Minimum mood swings.
- D. Increased feelings of self-worth.
Correct Answer: C
Rationale: Mood-stabilizing drugs like lithium aim to minimize mood swings in bipolar disorder. Weight gain and lethargy may occur but are not indicators of appropriate dosing, and inflated self-worth is a symptom that should diminish with treatment.
A client is seen in the clinic with clinical manifestations of an inability to sit still and a rigid posture. These side effects would be correctly identified as which of the following?
- A. Tardive dyskinesia
- B. Neuroleptic malignant syndrome
- C. Dystonia
- D. Akathisia
Correct Answer: D
Rationale: Akathisia is characterized by an intense need to move about, restlessness, and rigid posture, matching the described symptoms.
Which of the following is an inhibitory neurotransmitter?
- A. Dopamine
- B. GABA
- C. Norepinephrine
- D. Epinephrine
Correct Answer: B
Rationale: GABA is the major inhibitory neurotransmitter in the brain and has been found to modulate other neurotransmitter systems rather than to provide a direct stimulus. Dopamine, norepinephrine, and epinephrine are excitatory neurotransmitters.