A nurse is modifying the diet of a client who is prescribed an MAOI. Which of the following foods should the nurse eliminate?

Vegetables

Smoked sausage

Chicken

Cherries

Answer and Explanation

The Correct Answer is B

Choice A reason:

Vegetables are generally safe and are not typically restricted in the diet of a client taking an MAOI. They do not contain high levels of tyramine, which can interact adversely with MAOIs.

Choice B reason:

Smoked sausage should be eliminated from the diet as it contains high levels of tyramine. Consuming tyramine-rich foods while taking MAOIs can lead to hypertensive crises, making it essential to avoid such foods.

Choice C reason:

Chicken is a safe protein choice and does not need to be eliminated from the diet of a client on an MAOI. It does not pose a risk of high tyramine levels.

Choice D reason:

Cherries are safe to consume and do not contain high levels of tyramine, so they do not need to be restricted in the diet of a client taking an MAOI.

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Correct Answer is A

Explanation

Choice A reason:

Gingival hyperplasia, or overgrowth of gum tissue, is a well-known long-term adverse effect of phenytoin. Regular dental check-ups and good oral hygiene can help manage this condition, which is common among patients on long-term phenytoin therapy.

Choice B reason:

Hypertension is not typically associated with long-term phenytoin use. This medication primarily affects the nervous system and does not have a significant impact on blood pressure.

Choice C reason:

Tachycardia is not a common long-term side effect of phenytoin. While phenytoin can cause various neurological and systemic side effects, increased heart rate is not typically one of them.

Choice D reason:

Hair loss is not commonly linked to long-term use of phenytoin. The primary adverse effects tend to be neurological and dental, rather than affecting hair growth.

A. grilled chicken B. red wine C. smoked sausage D. aged cheddar E. cereal

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Grilled chicken is a suitable food choice for clients taking MAOIs. It does not contain significant levels of tyramine and poses no risk of causing hypertensive crises, which can occur when tyramine-rich foods are consumed.

Choice B reason: This is the correct answer. Red wine contains high levels of tyramine, which can interact with MAOIs to cause severe hypertensive crises. Patients on MAOIs are advised to avoid all forms of fermented alcoholic beverages.

Choice C reason: This is the correct answer. Smoked sausage is another food high in tyramine. The fermentation and curing processes increase tyramine content, making it unsafe for patients on MAOIs.

Choice D reason: This is the correct answer. Aged cheddar and other aged cheeses contain high levels of tyramine due to the aging process. Consuming these can lead to dangerous blood pressure elevations in patients taking MAOIs.

Choice E reason: Cereal is typically safe for clients on MAOIs as it generally does not contain tyramine. Regular cereal options are suitable for a diet that needs to avoid tyramine-rich foods.

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A nurse is modifying the diet of a client who is prescribed an MAOI. Which of the following foods should the nurse eliminate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been taking phenytoin (Dilantin). The nurse understands that which of the following is a long-term adverse effect of this medication?

Correct Answer is A

Explanation

A client taking a newly prescribed monoamine oxidase inhibitor (MAOI) is receiving education on foods that contain tyramine. Which of the following foods should be excluded from the client's diet? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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