A client receiving clomipramine is given a prescription for ...

[rosent76]

A client receiving clomipramine is given a prescription for zolpidem for sleep. The primary health care provider was unaware the client was taking clomipramine. Which of the following reactions might the nurse observe in this client? Select all that apply
 
  A) Respiratory depression
  B) CNS depression
  C) Hypertensive crisis
  D) Easy bruising
  E) Hyperglycemia

Question 2

A client taking phenelzine (Nardil) is at a dinner party and has several glasses of red wine. The client begins to feel nauseated and develops a terrible headache. The client is taken to the nearest emergency department (ED).
 
  This client might be experiencing a hypertensive crisis. What other symptoms might the nurse in the ED assess if the client is experiencing a hypertensive crisis? Select all that apply.
 
  A) Constricted pupils
  B) Chills
  C) Chest pain
  D) Tachycardia
  E) Stiff neck

[mfedorka]

Answer to Question 1

Ans: A, B
Feedback:
The concomitant administration of tricyclic antidepressants like clomipramine with hypnotics like zolpidem can result in the increased risk of respiratory depression and CNS depression.

Answer to Question 2

Ans: C, D, E
Feedback:
A client experiencing a hypertensive crisis can exhibit the following symptoms: stiff or sore neck, nausea, vomiting, headache, sweating, fever, chest pain, dilated pupils, and bradycardia or tachycardia.

[rosent76]

Excellent

[softEldritch]

Thanks for the timely response, appreciate it