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 C

Explanation

A. A pulse oximetry of 92% indicates mild hypoxia but does not directly contraindicate the use of verapamil.
B. A respiratory rate of 12 is within the normal range for adults and does not indicate a need to hold the medication.
C. A pulse of 78 is within the normal range but should be assessed in the context of the client’s overall condition; however, if the pulse were significantly lower (e.g., <60 bpm), it would necessitate holding the medication due to the risk of bradycardia.
D. A history of myocardial infarction a week ago would warrant caution but is not an absolute reason to hold verapamil unless other contraindications are present, as verapamil can be beneficial for managing hypertension post-MI.

A. Methylprednisolone (Solumedrol) B. Ipratropium bromide (Atrovent) C. Montelukast (Singulair) D. Albuterol (Ventolin)

Correct Answer is B

Explanation

A. Methylprednisolone does not contain soy products and is not contraindicated for clients with a soybean allergy.
B. Ipratropium bromide is often formulated with soy lecithin as a stabilizer, making it contraindicated for individuals allergic to soybeans.
C. Montelukast is a leukotriene receptor antagonist and does not contain soy products, so it is safe for this client.
D. Albuterol does not contain soy products and is generally safe for clients with a soybean allergy.

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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

A client presents to the healthcare setting and is ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?

Correct Answer is C

Explanation

A client presents to the healthcare setting with a diagnosis of emphysema. Which of the following medications below would be contraindicated with the client's allergy to soybeans?

Correct Answer is B

Explanation

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