A client who was discontinued from using an MAOI 1 week ago has injured his back and is in pain from severe muscle spasms. The client has been prescribed cyclobenzaprine (Flexeril) for the muscle spasms. Which nursing action is the most important?
1. Inform the client to watch for added CNS depression.
2. Warn the client not to operate a motorized vehicle until the effects of the medication are known.
3. Hold the Flexeril and notify the health care provider.
4. Give the Flexeril as prescribed.

3. Hold the Flexeril and notify the health care provider.

Explanation:

Added CNS depression is not the important concern here. Although the client should not operate a motorized vehicle until effects of the drug are known, this is not the most important issue. A potentially fatal hypertensive crisis could occur if cyclobenzaprine is used within 14 days of a MAOI. The health care provider needs to be notified that the client has not been off the MAOI for the required minimum of 14 days before the Flexeril was prescribed.

a fossil fuel is a fuel formed by natural processes, such as anaerobic decomposition of buried dead organisms, containing energy originating in ancient photosynthesis.[1] the age of the organisms and their resulting fossil fuels is typically millions of years, and sometimes exceeds 650 million years.[2] fossil fuels contain high percentages of carbon and include petroleum, coal, and natural gas.[3] other commonly used derivatives include kerosene and propane. fossil fuels range from volatile materials with low carbon to hydrogen ratios like methane, to liquids like petroleum, to nonvolatile materials composed of almost pure carbon, like anthracite coal. methane can be found in hydrocarbon fields either alone, associated with oil, or in the form of methane clathrates.

the theory that fossil fuels formed from the fossilized remains of dead plants by exposure to heat and pressure in the earth's crust over millions of years was first introduced by andreas libavius "in his 1597 alchemia [alchymia]" and later by mikhail lomonosov "as early as 1757 and certainly by 1763".[4] the first use of the term "fossil fuel" was by the german chemist caspar neumann, in english translation in 1759.[5]

in 2017 the world's primary energy sources consisted of petroleum (34%), coal (28%), natural gas (23%), amounting to an 85% share for fossil fuels in primary energy consumption in the world.[6] non-fossil sources in 2006 included nuclear (8.5%), hydroelectric (6.3%), and others (geothermal, solar, tidal, wind, wood, waste) amounting to 0.9%.[7] world energy consumption was growing at about 2.3% per year. in 2015 about 18% of worldwide consumption was from renewable sources.[8]