Author Question: A client is prescribed phenelzine (Nardil). Which of the following statements by the client should ... (Read 49 times)

robinn137 · **on:** Jul 19, 2018

A client is prescribed phenelzine (Nardil). Which of the following statements by the client should indicate to a nurse that discharge teaching about this medication has been successful? (Select all that apply.)

1. I'll have to let my surgeon know about this medication before I have my cholecystectomy.
2. I guess I will have to give up my glass of red wine with dinner.
3. I'll have to be very careful about reading food and medication labels.
4. I'm going to miss my caffeinated coffee in the morning.
5. I'll be sure not to stop this medication abruptly.

Question 2

An individual experiences sadness and melancholia in September continuing through November. Which of the following factors should a nurse identify as most likely to contribute to the etiology of these symptoms? (Select all that apply.)

1. Gender differences in social opportunities that occur with age
2. Drastic temperature and barometric pressure changes
3. A seasonal increase in social interactions
4. Variations in serotonergic functioning
5. Inaccessibility of resources for dealing with life stressors

iceage · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1, 2, 3, 5
Rationale: The nurse should evaluate that teaching has been successful when the client states that phenelzine should not be taken in conjunction with the use of alcohol or foods high in tyramine and should not be stopped abruptly. Phenelzine is an MAOI that can have negative interaction with other medications. The client needs to tell other physicians about taking MAOIs, because of the risk of drug interactions.

Answer to Question 2

2, 3, 4
Rationale: The nurse should identify drastic temperature and barometric pressure changes, a seasonal increase in social interactions, and/or variations in serotonergic functioning as contributing to the etiology of the client's symptoms. A number of studies have examined seasonal patterns associated with mood disorders and have revealed two prevalent periods of seasonal involvement: spring (March, April, May) and fall (September, October, November).