A client is prescribed a monoamine oxidase inhibitor (MAOI) for the treatment of depression. The nurse should instruct the client to avoid which of the following foods?
Citrus fruits
Aged cheese
Leafy green vegetables
Whole grains
The Correct Answer is B
B) Correct. Clients taking MAOIs should avoid aged cheese and other foods containing high levels of tyramine. Tyramine-rich foods can lead to a hypertensive crisis when combined with MAOIs, potentially causing severe increases in blood pressure.
A) Incorrect. Citrus fruits do not need to be avoided specifically when taking MAOIs.
C) Incorrect. Leafy green vegetables do not need to be avoided specifically when taking MAOIs.
D) Incorrect. Whole grains do not need to be avoided specifically when taking MAOIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Acetylcholinesterase inhibitors, such as donepezil or rivastigmine, are commonly prescribed to improve memory and cognitive function in clients with Alzheimer's disease. Educating the client about the therapeutic effects of the medication is important for promoting understanding and adherence.
B) Incorrect. Acetylcholinesterase inhibitors can be taken with or without food, and taking them with food may help reduce gastrointestinal side effects.
C) Incorrect. Acetylcholinesterase inhibitors do not provide immediate relief of symptoms. They need to be taken consistently over time to achieve the desired therapeutic effects.
D) Incorrect. Acetylcholinesterase inhibitors do not increase dopamine production. They work by inhibiting the breakdown of acetylcholine, a neurotransmitter involved in memory and cognitive function.
Correct Answer is D
Explanation
D) Correct. Tricyclic antidepressants can cause anticholinergic effects, including urinary retention. The nurse should monitor the client for any signs or symptoms of urinary retention and assess the client's ability to void.
A) Incorrect. Hypotension is a potential adverse effect of some antidepressant medications, but it is not specific to tricyclic antidepressants. In fact, tricyclic antidepressants can cause orthostatic hypotension, which is a drop in blood pressure upon standing.
B) Incorrect. Weight gain is a more common adverse effect of tricyclic antidepressants. Weight loss is not typically associated with these medications.
C) Incorrect. Insomnia is a potential adverse effect of tricyclic antidepressants, but it is not the most significant adverse effect associated with this class of medication. Sedation and drowsiness are more common adverse effects.
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