Prior to initiating medication therapy with phenelzine (Nardil), ...

[TVarnum]

Prior to initiating medication therapy with phenelzine (Nardil), the nurse should plan to deter-mine the client's:
 
  1. Mood and affect
  2. Activity level
  3. Cognitive ability to understand information about the medication
  4. Support network and its members' willingness to participate in treatment

Question 2

A client who has a history of bipolar disorder recently underwent orthopedic surgery and was discharged to return home.
 
  When visited by the home care nurse, the nurse documented the following: slow and soft speech; sad facial expression; client crying when describing extreme fatigue, low mood, and the feeling that he will never get well. He has refused to bathe and perform ADLs for several days. Which nursing diagnosis would be appropriate?
  1. Disturbed thought processes related to bipolar disorder
  2. Deficient knowledge related to depression and surgery
  3. Self-care deficit related to orthopedic surgery and possible depression
  4. Situational low self-esteem related to immobility

[Melissahxx]

Answer to Question 1

ANS: 3
Phenelzine (Nardil) administration requires strict adherence to a restricted diet. The client must have the cognitive ability to understand the food and medication interactions that may cause a serious reaction.

Answer to Question 2

ANS: 3
Refusal to perform tasks of bathing, grooming, and other ADLs provides evidence of a self-care deficit. The other symptoms documented by the nurse are characteristic of depression. Thus op-tion 3 is a viable nursing diagnosis. No data are present to suggest the diagnoses given in the other options.

[TVarnum]

Thank you

[Melissahxx]

No problemo