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Question 1 of 5

A client receiving Parnate (tranylcypromine) is admitted in a hypertensive crisis. Which food is most likely to produce a hypertensive crisis when taken with the medication?

Correct Answer: D

Rationale: Parnate, a monoamine oxidase inhibitor (MAOI), interacts with tyramine-rich foods like aged cheeses (e.g., cheddar) to cause hypertensive crisis due to increased norepinephrine release.

Question 2 of 5

A client is being treated for irritable bowel syndrome (IBS). The nurse knows that the involvement of nursing, pharmacy, gastroenterology, and nutritional services is an example of which of the following approaches?

Correct Answer: B

Rationale: A multidisciplinary approach involves multiple specialties (nursing, pharmacy, gastroenterology, nutrition) collaborating to manage IBS.

Question 3 of 5

A manic client is admitted to an inpatient psychiatric center. He is hyperactive, talking quickly, acting aggressively, and pacing. The nursing staff should

Correct Answer: D

Rationale: A manic client’s behavior requires close supervision for safety. Assigning an RN to stay with the client ensures monitoring and intervention as needed.

Question 4 of 5

Which statement is incorrect regarding the Federal Nursing Home Reform Act from the Omnibus Budget Reconciliation Act of 1987 (OBRA '87)?

Correct Answer: D

Rationale: OBRA '87 does not include the right to organize hospital personnel into a union. Other rights are part of the act.

Question 5 of 5

The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

Correct Answer: C

Rationale: Repositioning the client can relieve umbilical cord compression, the common cause of variable decelerations.

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The nurse is working with an unlicensed assistive personnel (UAP). In planning the morning's care, which tasks can the nurse delegate to the UAP? Select all that apply.

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