Author Question: A patient comes to the clinic because she is feeling depressed and has gained some weight. The ... (Read 38 times)

saliriagwu · **on:** Jul 23, 2018

A patient comes to the clinic because she is feeling depressed and has gained some weight. The physician prescribes oral tranylcypromine (Parnate) 10 mg twice daily for an atypical depression.

When prescribed in this manner, when would the nurse tell the patient to expect the drug to reach peak levels in the body? A) 1 to 2 hours
B) 2 to 3 hours
C) 3 to 4 days
D) 4 to 5 weeks

Question 2

The nurse admits a patient diagnosed with diabetes who has been undergoing fertility treatment in the hopes of becoming pregnant but is not pregnant at this time.

The patient has a life-threatening fungal infection and requires systemic antifungal therapy. What medication would be contraindicated in this patient? A) Ketoconazole
B) Fluconazole
C) Posaconazole
D) Itraconazole

steff9894 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
The monoamine oxidase inhibitors are well absorbed from the GI tract, reaching peak levels in 2 to 3 hours. The other time frames are incorrect.

Answer to Question 2

A
Feedback:
Ketoconazole is not the drug of choice for patients with endocrine or fertility problems because of its effects on these processes. It is not known whether posaconazole crosses the placenta or enters breast milk, so it should not be used during pregnancy or lactation unless the benefits clearly outweigh the potential risks but has no risk to those with fertility or endocrine problems. Fluconazole and itraconazole would be safe for this patient.