A nurse is providing teaching about a gluten-free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the client include in his diet?

A) ”atin“ blueberries every morning is n”t specifically related to managing a goiter. While blueberries are nutritious and may be part of a balanced diet, they do not have a direct impact on goiter management. Goiter management typically involves ensuring an adequate intake of iodine, which is not a significant component of blueberries.

B) Eating more tuna is an appropriate choice for managing a goiter. Tuna is a good source of iodine, an essential micronutrient for thyroid function. Adequate iodine intake can help prevent or manage goiter, especially in cases where the goiter is due to iodine deficiency. Including tuna in the diet can contribute to meeting iodine requirements.

C) Eating more red meat is not necessarily indicated for managing a goiter. While red meat contains nutrients such as iron and protein, its role in managing goiter is less direct compared to foods rich in iodine. While red meat can be part of a balanced diet, it does not specifically address iodine deficiency, which is a common cause of goiter.

D) Eating bananas for a snack is not specifically related to managing a goiter. While bananas are a source of various nutrients, they do not have a direct impact on thyroid function or goiter management. Although maintaining overall nutritional health is important, focusing on foods rich in iodine, like tuna, is more relevant for managing goiter.

Phenelzine belongs to a class of antidepressants known as monoamine oxidase inhibitors (MAOIs). MAOIs work by inhibiting the activity of the enzyme monoamine oxidase, which results in increased levels of certain neurotransmitters in the brain, such as serotonin, norepinephrine, and dopamine. However, MAOIs have a significant dietary restriction due to their interaction with tyramine-containing foods. Tyramine is a substance found in various foods and beverages and can lead to a sudden and dangerous increase in blood pressure when combined with MAOIs, resulting in a hypertensive crisis.

A) Pepperoni pizza: Pepperoni is a processed meat product that is high in tyramine. Additionally, pizza often contains aged cheeses, which are also rich in tyramine. Therefore, consuming pepperoni pizza while taking phenelzine poses a risk of hypertensive crisis due to the high tyramine content.

B) Strawberry yogurt: Yogurt, particularly varieties without added fruit or flavorings, is generally considered low in tyramine and is thus a safer option for individuals taking MAOIs. Additionally, fresh strawberries are also low in tyramine, making strawberry yogurt a suitable choice for someone on phenelzine therapy.

C) Smoked salmon: Smoked or cured fish, such as smoked salmon, is another food high in tyramine. Therefore, it is not recommended for individuals taking MAOIs due to the risk of hypertensive crisis.

D) Cheddar cheese: Aged cheeses like cheddar contain high levels of tyramine and should be avoided by individuals on MAOIs. Consuming cheddar cheese while taking phenelzine increases the risk of a hypertensive crisis.