The intake nurse is making an assessment of a client who has just arrived at the emergency department. Which of the following comments from this client who is taking Nardil (phenelzine), a monoamine oxidase (MAO) inhibitor, for treatment-resistant depression should be given top priority?
1. “My bowels haven't moved in the last 2 days.”
2. “What was my temperature? I'm feeling warm.”
3. “My legs feel stiff after I sit in the chair for a while.”
4. “I have a throbbing headache.”
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