A client is taking an MAOI inhibitor such as Nardil, an old class of antidepressant rarely used because of food interactions with items such as (choose the correct answer):
Yogurt
Vegetable salad
Oatmeal
Crackers
The Correct Answer is A
Choice A reason:
Yogurt is one of the foods that can interact with MAOI inhibitors like Nardil. MAOIs can cause dangerous increases in blood pressure when taken with foods containing high levels of tyramine, such as aged cheeses, yogurt, fermented foods, and certain meats. Patients on MAOIs must follow strict dietary restrictions to avoid these interactions.
Choice B reason:
Vegetable salad is generally safe for individuals taking MAOI inhibitors. Fresh vegetables do not contain high levels of tyramine and do not pose a risk of interaction with MAOIs.
Choice C reason:
Oatmeal is also safe for individuals taking MAOI inhibitors. It does not contain high levels of tyramine and is not associated with adverse interactions with these medications.
Choice D reason:
Crackers are typically safe for individuals taking MAOI inhibitors, provided they do not contain aged cheeses or other high-tyramine ingredients. Plain crackers do not pose a risk of interaction with MAOIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Tea-colored urine and constipation are not characteristic symptoms of serotonin syndrome. These symptoms may indicate other medical conditions but are not related to the excessive accumulation of serotonin in the body.
Choice B reason:
A productive cough and vomiting are not typical symptoms of serotonin syndrome. While vomiting can occur in severe cases, a productive cough is unrelated to serotonin syndrome and more indicative of respiratory conditions.
Choice C reason:
Muscle rigidity and high fever are hallmark symptoms of serotonin syndrome. This condition results from an excess of serotonin in the central nervous system and can lead to severe autonomic instability, hyperthermia, and neuromuscular abnormalities. Immediate medical intervention is required to manage these symptoms and prevent complications.
Choice D reason:
Hypotension and urinary retention are not primary symptoms of serotonin syndrome. While autonomic dysfunction can occur, the key features of serotonin syndrome include neuromuscular hyperactivity, autonomic instability, and altered mental status.
Correct Answer is A
Explanation
Choice A reason:
Expressing an active suicide ideation by stating, “I will take an overdose if I return to the dorm room,” meets the criteria for a 5150 involuntary hold for “Danger to Self.” This statement indicates a clear and immediate risk of self-harm, which warrants immediate intervention to ensure Edward’s safety.
Choice B reason:
Starting to cry when discussing his grandfather’s death is a normal emotional response to grief and does not meet the criteria for a 5150 involuntary hold. While it indicates emotional distress, it does not suggest an immediate risk of self-harm.
Choice C reason:
Refusing to take antidepressant medication is concerning and may indicate non-compliance with treatment, but it does not meet the criteria for a 5150 involuntary hold unless it is accompanied by behaviors that indicate an immediate risk of self-harm.
Choice D reason:
Admitting to feeling hopeless but agreeing to return to the clinic in the morning escorted by his classmate who will stay with him does not meet the criteria for a 5150 involuntary hold. While feelings of hopelessness are serious, the plan to return to the clinic with support indicates that Edward is not an immediate danger to himself.
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