Page 2380 - Saunders Comprehensive Review For NCLEX-RN

alertness) until the individual can determine whether her or his level of alertness is
affected. Food interaction is not a concern.
Test-Taking Strategy: Focus on the subject, parameters to monitor for the client
taking risperidone. It is necessary to know the nursing considerations related to the
administration of risperidone and that risperidone can cause orthostatic
hypotension. Also, use of the ABCs—airway, breathing, circulation—will direct you
to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Psychotherapeutics: Antipsychotics
Health Problem: Mental Health: Schizophrenia
Priority Concepts: Client Education; Safety
Reference: Varcarolis (2017), pp. 48, 264.

847. Answer: 2

Rationale: The maximum therapeutic effects of imipramine may not occur for 2 to
3 weeks after antidepressant therapy has been initiated. Options 1, 3, and 4 are
incorrect time periods.
Test-Taking Strategy: Note the subject, the desired effect of this medication, and
focus on the word maximum. Recalling that it takes 2 to 3 weeks for a maximum
therapeutic effect to occur with most antidepressants will direct you to the correct
option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Psychotherapeutics: Tricyclic Antidepressants
Health Problem: Mental Health: Mood Disorders
Priority Concepts: Anxiety; Client Education
Reference: Hodgson, Kizior (2018), pp. 583-584.

848. Answer: 3, 5

Rationale: With MAOIs, the client should avoid ingesting foods that are high in
tyramine. Ingestion of these foods could trigger a potentially fatal hypertensive
crisis. Foods to avoid include yogurt; aged cheeses; smoked or processed meats; red
wines; and fruits such as avocados, raisins, or figs.
Test-Taking Strategy: Focus on the subject, acceptable food items while taking
MAOIs. Recall that phenelzine is an MAOI and that foods high in tyramine needed
to be avoided. Next, from the food items listed in the question, identify the foods
that are tyramine-free.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Psychotherapeutics: Monoamine Oxidase Inhibitors
(MAOIs)

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