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Practice Question

The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. What is the nurse's priority action?

Answer Choices:

Correct Answer:

Notify the physician immediately

Rationale:

🚩 A headache, palpitations, and neck stiffness in a client recently started on antidepressants—particularly MAOIs—may indicate a hypertensive crisis, a potentially life-threatening emergency often triggered by dietary tyramine or drug interactions. Immediate medical intervention is required to prevent complications such as stroke or organ damage.

🚩 Delaying notification or treating the symptoms without identifying the cause can be dangerous.

🚩 Reassuring the client or giving aspirin ignores the underlying emergency.

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This question is from ATI PN Mental Health Exam (IV) which contains 25 questions.

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ATI PN Mental Health Exam (IV)

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: MENTAL HEALTH/PSYCHIATRIC PN
  • Answer Choices: 4
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