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Karch's Focus On Pharmacology 8th Ed. Chapter 21 Correct answers latest update 2024/2025
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A client has been taking citalopram for 2 weeks and has expressed a desire to discontinue it, stating, "I don't feel any better than I did before I started these pills." What should the nurse teach the client? - ANS>It may take up to two more weeks before the client feels better What instructions should a nurse include when teaching a client who has depression about the use of amitriptyline? - ANS>"Use sugarless hard candies and gum to deal with dry mouth." The nurse is caring for a 32-year-old client who is taking amitriptyline for depression. What nursing intervention would be appropriate if this client developed orthostatic hypotension? - ANS>Asking the client to sit on the side of the bed for 1 minute before getting up A nurse is working with a client who is taking an MAOI. What would be the most important instruction to the client? - ANS>avoid use of soy sauce in the diet. Rationale:
The client should be instructed to avoid soy sauce, which contains high levels of tyramine. Potentially fatal pharmacodynamic interactions can occur with MAOIs when they are combined with foods rich in tyramine. The client's willingness to adhere to the combination therapy and the cultural significance of taking an MAOI, although important factors to be assessed, are not as important as this safety-related dietary consideration. A female client has been diagnosed with depression. She also has a history of alcoholism. She has been sober now for 4 months, but at her last physical examination, the health care provider noted right-upper-quadrant tenderness and elevated liver enzyme levels. The provider has prescribed sertraline to treat the client's depression. Which factor would need to be considered prior to administering this medication? - ANS>The medication should be started at a lower dose due to liver dysfunction, and the client should be monitored for side effects. The client is experiencing some slurred speech and the nurse notices tremors. In reviewing the client's am lab results she focuses on the serum lithium level. Which finding would indicate that the client is experiencing lithium toxicity? - ANS>1.8 mEq/L A client has been taking fluoxetine (Prozac) for the last ten days. Today the client the clinic reporting not feeling any better. What is the nurse's best response to this client? - ANS>"It may take
the client's nursing assessment to best assure client safety? - ANS>presence of suicidal ideation A nurse is caring for a patient who has been prescribed a monoamine oxidase inhibitor (MAOI). What should the nurse ask the patient to avoid? - ANS>Yogurt