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 ["B","C","D"]

Explanation

Choice A rationale

While monitoring abdominal girth can be important in patients with cirrhosis, especially those with ascites, it is not typically an assessment finding that requires immediate follow-up.

Choice B rationale

A blood pressure of 82/58 mm Hg is low and could indicate hypotension, which requires immediate follow-up.

Choice C rationale

A heart rate of 101/min is elevated and could indicate tachycardia, which requires immediate follow-up.

Choice D rationale

An oxygen saturation of 92% is lower than the normal range of 95% to 100%, indicating potential hypoxia, which requires immediate follow-up.

A. Swab an area of skin away from the wound to identify the usual flora. B. Irrigate the wound with an antiseptic prior to obtaining the specimen. C. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen. D. Include intact skin at the wound edges in the culture.

Correct Answer is C

Explanation

Choice A rationale

Swabbing an area of skin away from the wound to identify the usual flora is not the correct action. This would not provide a representative sample of the wound infection.

Choice B rationale

Irrigating the wound with an antiseptic prior to obtaining the specimen is not the correct action. This could potentially alter the results of the culture.

Choice C rationale

Cleansing the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen is the correct action. This helps to remove surface bacteria and ensures a more accurate culture result.

Choice D rationale

Including intact skin at the wound edges in the culture is not the correct action. This could contaminate the specimen with bacteria that are not part of the wound infection.

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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

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

Explanation

A nurse is attending to a patient with a wound infection.What should the nurse do when collecting a wound-drainage specimen for culture?

Correct Answer is C

Explanation

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