Author Question: Which client complaint should receive priority from a client who is taking tranylcypromine ... (Read 71 times)

jasdeep_brar · **on:** Jul 19, 2018

Which client complaint should receive priority from a client who is taking tranylcypromine (Par-nate)?

1. My legs get stiff when I sit in the chair for a while.
2. Will you take my temperature? I feel too warm.
3. I've had a headache ever since I drank some coffee.
4. I haven't had a bowel movement in 2 days.

Question 2

A severely depressed client who had been successfully treated 5 years earlier using clomipramine (Anafranil) was admitted to the adult psychiatric unit where clomipramine was again ordered.

For which medication side effects should the client be monitored?
1. Polyuria and coarse hand tremors
2. Orthostatic hypotension and constipation
3. Excess salivation and drooling
4. Muscle rigidity and restlessness

Jmfn03 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 3
Hypertensive crisis may occur if a client taking a MAOI ingests certain food containing tyramine or drugs that cause BP elevation. Headache is a warning sign of hypertensive crisis. The nurse should assess BP and inquire about other symptoms of hypertensive crisis. 1. Stiffness is not re-lated to MAOI therapy. 2. Elevated temperature is not an initial sign of hypertensive crisis. 4. Constipation is not a sign of hypertensive crisis.

Answer to Question 2

ANS: 2
Alpha1 blockade produces orthostatic hypotension, and cholinergic blockade produces constipa-tion. 1. Mild tremors and urinary retention may occur. 3. This may occur with SSRIs. 4. This may occur with antipsychotics.