A patient receiving metoclopramide is also taking an antidepressant. What should the nurse monitor for?
Decreased appetite
Increased risk of serotonin syndrome
Elevated blood pressure
Enhanced antidepressant effects
The Correct Answer is B
A. Decreased appetite may occur but is not the most critical concern in this context.
B. The combination of metoclopramide, which can influence serotonin pathways, with certain antidepressants, especially SSRIs, increases the risk of serotonin syndrome, a potentially life-threatening condition.
C. While some antidepressants can influence blood pressure, monitoring for elevated blood pressure is not the primary concern with metoclopramide.
D. There is no evidence to suggest that metoclopramide enhances the effects of antidepressants; the focus should be on potential adverse interactions instead.
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View Related questions
Correct Answer is D
Explanation
A. While MAOIs may have some regulatory considerations, they are not classified under a scheduled drug classification like controlled substances.
B. MAOIs are effective in treating depression and anxiety disorders, which is not the reason for their limited use.
C. Although MAOIs can have some side effects, they are more notably associated with dietary and drug interactions rather than causing GI bleeding or esophageal varices.
D. MAOIs can cause dangerous interactions with foods that contain tyramine (like aged cheeses and fermented products) and certain medications, leading to hypertensive crises, making their use cautious and limiting in clinical practice.
Correct Answer is ["A","B","E"]
Explanation
A. Improved sleep is an indication that fluoxetine is effectively alleviating depressive symptoms, as sleep disturbances are common in depression.
B. Decreased anxiety suggests that the medication is effective, as fluoxetine can help reduce both depressive and anxiety symptoms.
C. Reduced appetite is typically not a sign of effectiveness; it may indicate a side effect or worsening of depression rather than improvement.
D. Weight loss is also not a clear indicator of effectiveness; it may indicate adverse effects or worsening mental health symptoms rather than improvement in mood or behavior.
E. Interest in physical activity indicates improvement in mood and energy levels, which are positive signs of fluoxetine's effectiveness.