A client taking a newly prescribed Monoamine Oxidase Inhibitor (MAOI) is receiving education on foods that contain tyramine. Which of the following foods below should be excluded from the client's diet?

Fruit Juices

Aged Cheddar

Smoked Sausage

Cereal

Grilled Chicken

Red Wine

Answer and Explanation

Correct Answer : B,C,F

B. Aged cheeses like cheddar contain high levels of tyramine, which can trigger hypertensive crises in clients taking MAOIs.
C. Smoked and cured meats, such as sausage, are high in tyramine and should be avoided.
F. Red wine is another common source of tyramine, and consumption should be avoided while taking MAOIs.
A. Fruit juices are generally low in tyramine and do not need to be excluded.
D. Cereal is not typically high in tyramine, so it is safe to consume.
E. Grilled chicken, as a fresh protein source, is low in tyramine and safe for clients on MAOIs.

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Correct Answer is D

Explanation

A. Hydralazine is a vasodilator that does not directly replace ACE inhibitors and is not the preferred alternative for managing hypertension or heart failure.
B. Metoprolol is a beta-blocker that is used for different indications and is not a direct substitute for ACE inhibitors.
C. Furosemide is a loop diuretic used for fluid management, not as an alternative to ACE inhibitors.
D. Losartan is an angiotensin II receptor blocker (ARB) and serves as a suitable alternative to ACE inhibitors for patients who experience a cough from them, as ARBs do not typically cause this side effect.

A. Hypokalemia B. Hypophosphatemia C. Hypocalcemia D. Hypernatremia

Correct Answer is A

Explanation

A. Hypokalemia increases the risk of digoxin toxicity because low potassium levels enhance digoxin's effects on the myocardium. Monitoring and correcting potassium levels is essential in clients on digoxin.
B. Hypophosphatemia is not directly linked to digoxin toxicity and is not a primary concern.
C. Hypocalcemia does not increase the risk of digoxin toxicity; in fact, hypercalcemia would be more concerning in terms of potential toxicity.
D. Hypernatremia does not have a significant effect on digoxin toxicity, so it is not a primary concern when assessing this medication’s safety.

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A client taking a newly prescribed Monoamine Oxidase Inhibitor (MAOI) is receiving education on foods that contain tyramine. Which of the following foods below should be excluded from the client's diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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