{"id":1603,"date":"2022-10-19T15:43:00","date_gmt":"2022-10-19T15:43:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=1603"},"modified":"2026-03-20T13:51:44","modified_gmt":"2026-03-20T21:51:44","slug":"nclex-question-of-the-day-phenelzine-client-teachings","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Phenelzine client teachings"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings\/#A_%E2%80%9CI_am_so_excited_for_my_Italian_vacation_next_month%E2%80%9D\" >A. &#8220;I am so excited for my Italian vacation next month!&#8221;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings\/#B_%E2%80%9CI_recently_rescued_a_kitten_from_an_animal_shelter%E2%80%9D\" >B. \u201cI recently rescued a kitten from an animal shelter.\u201d<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings\/#C_%E2%80%9CMy_son_is_moving_away_and_I_may_not_see_him_as_often%E2%80%9D\" >C. \u201cMy son is moving away and I may not see him as often.\u201d<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings\/#D_%E2%80%9CMy_partner_and_I_have_been_discussing_moving_into_a_senior_living_facility%E2%80%9D\" >D. \u201cMy partner and I have been discussing moving into a senior living facility.\u201d<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings\/#i\" >________________________<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a nurse who is speaking with a client diagnosed with major depressive disorder who has taken phenelzine. Can you figure it out?<\/em><br><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse is speaking with a client diagnosed with major depressive disorder who has taken phenelzine for 10 years. The nurse should be most concerned by which client statement?&nbsp;<strong>A. \u201cI am so excited for my Italian vacation next month!\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. \u201cI recently rescued a kitten from an animal shelter.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. \u201cMy son is moving away and I may not see him as often.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. \u201cMy partner and I have been discussing moving into a senior living facility.\u201d<\/strong>Scroll down for the correct answer!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_%E2%80%9CI_am_so_excited_for_my_Italian_vacation_next_month%E2%80%9D\"><\/span>A. &#8220;I am so excited for my Italian vacation next month!&#8221;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;A primary concern for clients taking monoamine oxidase inhibitors (MAOIs) like phenelzine is consumption of tyramine-rich foods and beverages. MAOIs break down the enzyme monoamine oxidase. This enzyme is responsible for breaking down tyramine. Therefore, clients who take MAOIs are at risk of increased tyramine levels in the blood. This can cause a rise in blood pressure and lead to a hypertensive emergency. Many Italian meals include wine and cheese, which contain high amounts of tyramine. The nurse should provide education to the client to reinforce the importance of maintaining a low-tyramine diet while traveling in Italy.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A dangerous side effect of monoamine oxidase inhibitors (MAOIs) like phenelzine is hypertensive crisis, which is most commonly seen when combined with tyramine-rich food and drinks, such as cheese, red wine, and beer. This can also occur with foods containing phenylalanine, such as chocolate and caffeine. Clients that develop hypertensive crisis typically present with hypertension, tachycardia, arrhythmias, hyperthermia, and agitation. The Italian diet often includes cheese, wine, and meat and since this client is traveling to Italy next month, the nurse should provide education to reinforce the importance of maintaining a low-tyramine diet.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_%E2%80%9CI_recently_rescued_a_kitten_from_an_animal_shelter%E2%80%9D\"><\/span>B. \u201cI recently rescued a kitten from an animal shelter.\u201d<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>It is unclear whether there is a link between pet ownership and improvement in depressive symptoms. However, this is not a cause for concern for a client prescribed phenelzine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_%E2%80%9CMy_son_is_moving_away_and_I_may_not_see_him_as_often%E2%80%9D\"><\/span>C. \u201cMy son is moving away and I may not see him as often.\u201d<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;Clients with a history of major depressive disorder may be at risk for a return of or exacerbation of depressive symptoms when a lifestyle change takes place, such as a child moving away. Although the nurse should follow up on the client\u2019s feelings about their child moving away, this is not the most concerning statement.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_%E2%80%9CMy_partner_and_I_have_been_discussing_moving_into_a_senior_living_facility%E2%80%9D\"><\/span>D. \u201cMy partner and I have been discussing moving into a senior living facility.\u201d<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Clients with a history of major depressive disorder may be at risk for a return or exacerbation of depressive symptoms when a lifestyle change takes place, such as moving. Although the nurse should follow up on the client\u2019s feelings about possibly moving into a senior living facility, this is not the most concerning statement.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><span class=\"ez-toc-section\" id=\"i\"><\/span><strong><em>________________________<\/em><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-09T142914.041.png?w=700\" alt=\"\" class=\"wp-image-1471\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-09T142914.041.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-09T142914.041.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a nurse who is speaking with a client diagnosed with major depressive disorder who has taken phenelzine. Can you figure it out? The nurse is speaking with a client diagnosed with major depressive disorder who has taken phenelzine for 10 years. The nurse should be most concerned [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":1604,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-1603","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Phenelzine client teachings - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-phenelzine-client-teachings\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Phenelzine client teachings - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a nurse who is speaking with a client diagnosed with major depressive disorder who has taken phenelzine. Can you figure it out? The nurse is speaking with a client diagnosed with major depressive disorder who has taken phenelzine for 10 years. 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