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Author Question: The client has begun taking phenelzine (Nardil). At the initiation of therapy, which of the ... (Read 214 times)

skymedlock

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The client has begun taking phenelzine (Nardil). At the initiation of therapy, which of the following items does the nurse teach the client to allow in the diet? Select all that apply.
 
  1. Avocados
  2. Figs and raisins
  3. Bologna or salami
  4. Carrots or radishes
  5. Sweet potatoes and squash
  6. Red wine, such as Chianti or sherry

Question 2

The client with schizophrenia has been started on medication therapy with clozapine (Clozaril). Which of the following are side effects of this medication? Select all that apply.
 
  1. Diarrhea
  2. Sedation
  3. Dry mouth
  4. Weight loss
  5. Orthostatic hypotension
  6. Presence of a fixed stare



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kilada

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Answer to Question 1

4, 5

Rationale: Phenelzine is a monoamine oxidase inhibitor (MAOI). The client should avoid foods that are high in tyramine because they could trigger a potentially fatal hypertensive crisis. Foods to avoid include aged cheeses, smoked or processed meats, red wines, avocados, raisins, and figs. Vegetables are generally acceptable, with the exception of broad beans, including fava beans.

Answer to Question 2

2, 3, 5, 6

Rationale: Clozapine (Clozaril) is an antipsychotic medication used to treat schizophrenia. Hallucinations, delusions, and altered thought processes are characteristic of this disorder and should decrease with effective treatment. Fixed stare, dry mouth, orthostatic hypotension, and sedation are side effects of therapy. The other options are unrelated to this medication.



skymedlock

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Both answers were spot on, thank you once again



kilada

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