What priority teaching point does the nurse include in the ...

[cherise1989]

What priority teaching point does the nurse include in the teaching plan for a patient on a monoamine oxidase inhibitor (MAOI)? (Select all that apply.)
 
  A) Take medication at bedtime.
  B) Monitor blood pressure.
  C) Do not take over-the-counter (OTC) drugs without talking to physician.
  D) Report double vision right away
  E) Reduce tyramine intake

Question 2

The nurse admits a patient diagnosed with a systemic fungal infection and is ordered IV fluconazole. When developing the plan of care for this patient, the nurse would use what nursing diagnosis related to this medication?
 
  A) Chronic pain related to the gastrointestinal (GI) system, central nervous system (CNS), and local effects of drug
  B) Risk for altered perfusion secondary to system cardiovascular effects of drug
  C) Disturbed sensory perception (kinesthetic) related to CNS effects
  D) Monitor IV sites to ensure that phlebitis or infiltration does not occur.

[amcvicar]

Answer to Question 1

B, C, E
Feedback:
MAOIs can cause drugdrug and drugfood interactions, which can precipitate cardiovascular effects that include orthostatic hypotension, arrhythmias, palpitations, angina, and the potentially fatal hypertensive crisis. Priority teaching points include monitoring blood pressure which will elevate with tyramine ingestion and the importance of not taking any OTC without physician or pharmacist consultation due to multiple drugdrug interactions. When taking an MAOI, you would not necessarily take the drug at bedtime or drink lots of fluid. Blurred, but not double, vision is an adverse effect of an MAOI.

Answer to Question 2

C
Feedback:
Nursing diagnoses related to drug therapy might include disturbed sensory perception (kinesthetic) related to CNS effects. Cardiovascular effects are not a concern with this medication; acute, not chronic, pain is associated with GI, CNS, and local effects of the drug; option D is an intervention, not a nursing diagnosis.

[cherise1989]

TY

[amcvicar]

You're welcome