Page 2358 - Saunders Comprehensive Review For NCLEX-RN

10. Constricting chest pain
11. Antidote for hypertensive crisis: Phentolamine by
intravenous injection

D. Interventions

1. Monitor blood pressure frequently for hypertension.
2. Monitor for signs of hypertensive crisis.
3. If palpitations or frequent headaches occur, withhold
the medication and notify the PHCP.
4. Administer with food if gastrointestinal distress
occurs.
5. Instruct the client that the medication effect may be
noted during the first week of therapy, but maximum
benefit may take 3 weeks.
6. Instruct the client to report headache, neck stiffness, or
neck soreness immediately.
7. Instruct the client to change positions slowly to
prevent orthostatic hypotension.
8. Instruct the client to avoid caffeine or OTC
preparations such as weight-reducing pills or
medications for hay fever and colds.
9. Monitor compliance with medication administration.
10. Instruct the client that she or he may take a missed
dose within 3 hours of the scheduled time; otherwise,
the client should skip the missed dose and take the
next dose at the scheduled time.
11. Instruct the client to carry a MedicAlert card indicating
that an MAOI medication is being taken.
12. Avoid administering the medication in the evening,
because insomnia may result.
13. When the medication is discontinued by the PHCP, it
should be discontinued gradually.
14. Instruct the client to avoid foods that require bacteria
or molds for their preparation or preservation and
foods that contain tyramine (Fig. 68-1; Box 68-4).

Teach the client about foods that contain tyramine. Consuming

tyramine-containing foods when taking an MAOI can cause
hypertensive crisis.
IV. Mood Stabilizers (Box 68-5)
A. Description: Affect cellular transport mechanism and enhance
serotonin or γ-aminobutyric acid (GABA) function, or both, which
are associated with mood
B. Lithium
1. Concurrent use with diuretics, fluoxetine, or
nonsteroidal antiinflammatory drugs increases

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