ATI RN
ATI Mental Health 2023 II Questions
Extract:
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: D
Rationale: The correct assessment the nurse should perform is D: Blood pressure. Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat depression. Eating foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis due to the interaction between tyramine and MAOIs. Monitoring blood pressure is crucial to detect any potential hypertensive crisis. Pupil response (
A), bowel sounds (
B), and oxygen saturation (
C) are not directly related to the risk associated with tyramine intake in clients taking MAOIs. Blood pressure (
D) is the most relevant assessment in this situation to ensure the client's safety.
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: