An elderly woman tells the nurse that she was successfully ...

[Jipu 123]

An elderly woman tells the nurse that she was successfully treated with phenelzine (Nardil) during a bout of severe depression in the 1970s.
 
  Her mood has been worsening in recent years as she has dealt with the death of her husband and functional declines. As a result, she has asked the nurse if her care provider is likely to prescribe this same drug. What fact should underlie the nurse's response to the patient? A) Cognitive behavioral therapy has been found to be more effective than MAO inhibitors, so they are rarely prescribed.
  B) In most situations, MAO inhibitors have been largely superseded by tricyclic antidepressants.
  C) The risks of serious drug interactions and food interactions mean that MAO inhibitors are rarely used.
  D) MAO inhibitors are rarely used because serum levels must be monitored with blood work every 2 weeks.

Question 2

Laboratory testing reveals that a patient is in a severely hyperthyroid state and propylthiouracil (PTU) has been prescribed. When providing health education related to this drug, what should the nurse teach the patient?
 
  A) You'll need to take these pills every 8 hours.
  B) I'm going to show you how to perform your daily injection.
  C) At first, you'll come to the outpatient clinic for your IV infusion once per day.
  D) It's best to inject PTU into your abdomen rather than your arm.

[LegendaryAnswers]

Answer to Question 1

C
Feedback:
MAO inhibitors are rarely used in clinical practice today, mainly because they may interact with some foods and drugs to produce severe hypertension and possible heart attack or stroke. Serum levels do not need to be monitored. The potential benefits of cognitive behavioral therapy do not affect prescribers' decisions to use MAO inhibitors. SSRIs have become the first line of treatment for depression, replacing tricyclic antidepressants.

Answer to Question 2

A
Feedback:
PTU is well absorbed with oral administration. Because the half-life in the thyroid is relatively short, PTU must be given every 8 hours.

[Jipu 123]

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