A patient who is taking an MAOI to treat depression admits to ...

[newbem]

A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication?
 
  a. Constipation
  b. Hypotension
  c. Neck stiffness
  d. Urinary retention

Question 2

The nurse is caring for a patient who is taking a newly prescribed drug, nefazodone, for treatment of depression. Which physical assessment finding is most important for the nurse to report to the health care provider immediately?
 
  a. Bradycardia
  b. Dizziness
  c. Drowsiness
  d. Urinary retention

[manuelcastillo]

Answer to Question 1

ANS: C
Hypertensive crisis is a major potential complication. Common prodromal symptoms of hypertensive crisis include severe occipital headache, stiff neck, sweating, nausea, vomiting, and sharply elevated blood pressure. Constipation, hypotension, and urinary retention are not indicative of a major potential complication when patients consume foods high in tyramine.

Answer to Question 2

ANS: A
Bradycardia with a drop in 15 beats/min is to be reported to the health care provider immediately; withholding the dose is warranted until approved. Dizziness, drowsiness, and urinary retention are common adverse effects that would not need to be reported to the health care provider.

[newbem]

Thanks for the timely response, appreciate it

[kjohnson]

Gracias!