A nurse is caring for a client with suicidal tendencies. Which of ...

[bclement10]

A nurse is caring for a client with suicidal tendencies. Which of the following would be most important for the nurse to do after administering the drug orally?
 
  A) Inspect the oral cavity to ensure that the drug is swallowed.
  B) Monitor body temperature for changes.
  C) Monitor blood pressure for unusual changes.
  D) Inspect pulse rate for unusual changes.

Question 2

A nurse is caring for a client who has been prescribed a monoamine oxidase inhibitor (MAOI). Which of the following should the nurse instruct the client to avoid?
 
  A) Milk
  B) Butter
  C) Rice
  D) Yogurt

[frankwu0507]

Answer to Question 1

Ans: A
Feedback:
The immediate nursing intervention is to inspect the oral cavity to ensure that the client swallowed the drug. Assessment for changes in body temperature, blood pressure, and pulse rate should be completed once the nurse ensures that the client has swallowed the drug.

Answer to Question 2

Ans: D
Feedback:
The nurse should ask the client to avoid yogurt because yogurt contains tyramine, which interacts with MAOIs and causes hypertensive crisis. Milk, butter, and rice do not contain tyramine and hence can be consumed when the client is undergoing treatment with MAOIs.