ATI RN Mental Health 2023 with NGN | Nurselytic

Questions 60

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ATI RN Mental Health 2023 with NGN Questions

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Question 1 of 5

A nurse in an outpatient mental health facility is preparing to administer phenelzine to a client who has been taking this medication for several years. The client reports eating a grilled cheese sandwich and a banana for lunch and is feeling dizzy. Which of the following vital signs should the nurse assess first?

Correct Answer: A

Rationale: The correct answer is A: Blood pressure. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can cause hypertensive crisis if combined with foods high in tyramine, like cheese and bananas. Assessing blood pressure first is critical to monitor for any signs of hypertensive crisis, such as a sudden increase in blood pressure that could lead to serious complications. Respiration, pulse, and temperature are also important to assess, but blood pressure takes precedence in this situation due to the potential life-threatening effects of hypertensive crisis.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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