ATI RN Mental health 2019 NGN II | Nurselytic

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ATI RN Mental health 2019 NGN II Questions

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Question 1 of 5

A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?

Correct Answer: B

Rationale: The correct assessment the nurse should perform is B: Blood pressure. Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat depression. Consuming foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis. Monitoring the client's blood pressure is crucial to assess for any sudden increases that could indicate a potential crisis. Bowel sounds (choice
A), oxygen saturation (choice
C), and pupil response (choice
D) are not directly related to the potential side effect of consuming tyramine-rich foods.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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