A nurse is providing dietary education for a patient who has a new prescription for a monoamine oxidase inhibitor (MAO). Which items in the patient’s sample lunch menu would require intervention by the nurse?

Celery sticks

Sliced apples

Bologna sandwich

Glass of whole milk .

Answer and Explanation

The Correct Answer is C

Choice A rationale

Celery sticks are safe to consume while on a monoamine oxidase inhibitor (MAOI) medication. They do not contain tyramine, which can cause a hypertensive crisis if consumed while taking an MAOI8.

Choice B rationale

Sliced apples are also safe to consume while on an MAOI medication. They do not contain tyramine.

Choice C rationale

Bologna sandwiches should be avoided while on an MAOI medication. Bologna is a type of processed meat that can be high in tyramine.

Choice D rationale

A glass of whole milk is safe to consume while on an MAOI medication. It does not contain high levels of tyramine.

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Correct Answer is A

Explanation

Choice A rationale

The priority action for a nurse when caring for a patient exhibiting symptoms of a myocardial infarction is to initiate oxygen therapy. Oxygen therapy is crucial because it increases the amount of oxygen in the blood, which can help reduce the heart’s workload and relieve pain. This intervention is aimed at reducing myocardial oxygen demand and improving oxygen supply to the ischemic myocardium.

Choice B rationale

Obtaining a blood sample is important as it can help diagnose a myocardial infarction. Blood tests can measure levels of certain proteins, such as troponins, in the bloodstream that can indicate heart muscle damage. However, this is not the immediate priority when compared to initiating oxygen therapy.

Choice C rationale

Attaching the leads for a 12-lead ECG is an important step in the assessment of a patient with suspected myocardial infarction. An ECG can show whether the heart muscle has been damaged and where the damage has occurred. However, this should be done after initiating oxygen therapy.

Choice D rationale

Inserting an IV catheter is a necessary step in the management of a myocardial infarction. It allows for the administration of medications and fluids as needed. However, it is not the first priority. The first priority is to stabilize the patient, which includes initiating oxygen therapy.

Correct Answer is ["5"]

Explanation

Step 1 is: Calculate the volume of metoprolol to administer using the formula: Volume = Dose ÷ Concentration

Step 2 is: Substitute the given values into the formula: Volume = 5 mg ÷ 1 mg/mL

Step 3 is: Perform the calculation: Volume = 5 mL. So, the nurse should administer 5 mL of metoprolol per dose.

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A nurse is providing dietary education for a patient who has a new prescription for a monoamine oxidase inhibitor (MAO). Which items in the patient’s sample lunch menu would require intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is attending to a patient exhibiting symptoms of a myocardial infarction. Which of the following actions should the nurse prioritize?

Correct Answer is A

Explanation

Correct Answer is ["5"]

Explanation

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