This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client who has been taking fluvoxamine (Luvox) without significant improvement asks a nurse, I ... (Read 13 times)

rmenurse

  • Hero Member
  • *****
  • Posts: 513
on: Jul 19, 2018
A client who has been taking fluvoxamine (Luvox) without significant improvement asks a nurse, I heard about something called a monoamine oxidase inhibitor (MAOI).
 
  Can't my doctor add that to my medications? Which is an appropriate nursing reply? A. This combination of drugs can lead to delirium tremens.
  B. A combination of an MAOI and Luvox can lead to a life-threatening hypertensive crisis.
  C. That's a good idea. There have been good results with the combination of these two drugs.
  D. The only disadvantage would be the exorbitant cost of the MAOI.

Question 2

A confused client has recently been prescribed sertraline (Zoloft). The client's spouse is taking paroxetine (Paxil). The client presents with restlessness, tachycardia, diaphoresis, and tremors.
 
  What complication does a nurse suspect, and what could be its possible cause? A. Neuroleptic malignant syndrome caused by ingestion of two different serotonin reuptake inhibitors (SSRIs)
  B. Neuroleptic malignant syndrome caused by ingestion of an SSRI and a monoamine oxidase inhibitor (MAOI)
  C. Serotonin syndrome caused by ingestion of an SSRI and an MAOI
  D. Serotonin syndrome caused by ingestion of two different SSRIs


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

raili21

  • Sr. Member
  • ****
  • Posts: 324
Reply #1 on: Jul 19, 2018
Answer to Question 1

B
The nurse should explain to the client that combining an MAOI and Luvox can lead to a life-threatening hypertensive crisis. Symptoms of hypertensive crisis include severe occipital and/or temporal pounding headaches with occasional photophobia, sensations of choking, palpitations, and a feeling of dread.

Answer to Question 2

D
The nurse should suspect that the client is suffering from serotonin syndrome possibly caused by ingesting two different SSRIs (Zoloft and Paxil). Symptoms of serotonin syndrome include confusion, agitation, tachycardia, hypertension, nausea, abdominal pain, myoclonus, muscle rigidity, fever, sweating, and tremor.


rmenurse

  • Member
  • Posts: 513
Reply 2 on: Jul 19, 2018
Great answer, keep it coming :)

okolip

  • Member
  • Posts: 362
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

The strongest synthetic topical retinoid drug available, tazarotene, is used to treat sun-damaged skin, acne, and psoriasis.

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

In 1885 masked Nebraskans seeking access to water posed for photographer S. D. Butcher, who captione In 1885 masked Nebraskans seeking access to water posed for photographer S. D. Butcher, who captione
Nurse administering enteral nutrition through a feeding tube. Nurse administering enteral nutrition through a feeding tube.
Using small, circular strokes, exfoliate the client’s neck and back. Using small, circular strokes, exfoliate the client’s neck and back.
Apply the substance to the client’s upper chest. Apply the substance to the client’s upper chest.
Nurse measuring the recumbent height of a toddler Nurse measuring the recumbent height of a toddler
Testing patellar reflex, client in a supine position Testing patellar reflex, client in a supine position
Video: Eczema

For a complete list of videos, visit our video library