Med Questions (2)

Question 1

A client is prescribed Sertraline (Zoloft), a SSRI. Which information about this drug’s adverse effects would the nurse include when creating a medication teaching plan? Select all that apply.

a. ) Low libido b.) Agranulocytosis
c. ) Sleep disturbance d.) Intermittent tachycardia
e. ) Weight gain f.) Seizures

Answer 1

a. ) Low libido
c. ) Sleep disturbance
e. ) Weight gain

Question 2

A client with major depression must take tranylcypromine sulfate (Parnate), a MAOI. During medication teaching, the nurse should instruct the client to avoid consuming:

a. ) Free-range poultry
b. ) Whole grain bread
c. ) Aged cheese
d. ) Fresh fish

Answer 2

c.) Aged cheese

When taking an MAOI, the client should avoid consuming high-tyramine foods, such as aged cheese, because the interaction may cause a life-threatening hypertensive crisis.

Question 3

Which classification of drugs is the most potentially fatal if the client takes an overdose?

a. ) Antihistamine
b. ) Dopaminergics
c. ) Phenothiazine Antipsychotics
d. ) Tricyclic antidepressants

Answer 3

d.) Tricyclic antidepressants

TCAs can create fatal cardiac arrythmias.

Overdose of the other medications are rarely fatal.

Question 4

Which foods are contraindicated for a client taking tranylcypromine (Parnate)?

a. ) Whole grain cereals and bagels
b. ) Chicken liver, Chianti wine, and beer
c. ) Oranges and vodka
d. ) Chicken, rice, and apples

Answer 4

b.) Chicken liver, Chianti wine, and beer

A client taking a MAOI such as tranylcypromine (Parnate) shouldn’t eat foods containing tyramine.

Such foods include: chicken liver, Chianti wine, beer, ale, aged game meats, broad beans, aged cheeses, sour cream, avocados, yogurt, pickled herrings, yeast extract, chocolate, excessive caffeine, vanilla, and soy sauce.

The client must also refrain from taking cold and hay fever preparations that contain vasoconstrictive agents.