A nurse is caring for a client who has atypical depression and is taking phenelzine. Which of the following foods is appropriate for the nurse to offer as an evening snack?
Avocados and toast.
Apple slices.
Bologna sandwich on wheat bread.
Cheddar cheese and crackers.
The Correct Answer is B
Choice A reason: Avocados contain tyramine, which can interact with monoamine oxidase inhibitors (MAOIs) like phenelzine, leading to hypertensive crisis. This option is unsafe and incorrect.
Choice B reason: Apple slices are safe because they do not contain tyramine. They are appropriate for clients taking MAOIs and provide a healthy, low-risk snack. This makes option B the correct answer.
Choice C reason: Bologna is a processed meat that contains high levels of tyramine. Consuming it while on phenelzine can trigger dangerous hypertensive reactions. This option is incorrect.
Choice D reason: Cheddar cheese is aged and contains tyramine. Aged cheeses are contraindicated for clients taking MAOIs due to the risk of hypertensive crisis. This option is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cleansing wounds with povidone-iodine on cotton balls is not recommended because it can damage granulation tissue and delay healing. Cotton fibers may also remain in the wound, increasing infection risk.
Choice B reason: Administering analgesia prior to irrigation is appropriate for pain management but does not directly demonstrate correct irrigation technique. While important, it is not the best indicator of proper wound irrigation practice.
Choice C reason: Warming irrigation solution in the microwave is unsafe because it can cause uneven heating and burns. Solutions should be warmed to room temperature using safe methods, not microwaves.
Choice D reason: Irrigating from the cleanest to the most contaminated area is the correct technique. This prevents the spread of microorganisms from contaminated areas into clean tissue, promoting healing and reducing infection risk.
Correct Answer is C
Explanation
Choice A reason: Clients do not need provider approval to sign advance directives. Advance directives are legal documents that reflect the client’s autonomy and do not require medical authorization.
Choice B reason: Clients do not need to contact the court to change a living will. They can revise or revoke their advance directives at any time as long as they are competent to make decisions.
Choice C reason: Appointing a health care surrogate is correct. This allows clients to designate someone to make medical decisions on their behalf if they become unable to do so, ensuring their wishes are respected even during periods of impaired judgment.
Choice D reason: Clients are not required to designate a guardian to initiate advance directives. Guardianship is a legal process separate from advance directives and is not necessary unless the client has been deemed legally incompetent.
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