A nurse is teaching a client who has Parkinson's disease and is prescribed a monoamine oxidase inhibitor. Which of the following instructions should the nurse include?
"Do not eat grapefruit while taking this medication."
"Maintain a low-protein diet."
"Avoid aged cheeses while taking this medication."
"Reduce intake of high-calorie foods."
The Correct Answer is C
The instruction that the nurse should include for a client with Parkinson's disease prescribed a monoamine oxidase inhibitor (MAOI) is as follows: "Avoid aged cheeses while taking this medication."
MAOIs are a class of medications used to treat Parkinson's disease by increasing the levels of certain neurotransmitters in the brain. However, they can interact with certain foods and beverages, leading to potentially dangerous side effects.
The interaction between MAOIs and aged cheeses is due to the presence of tyramine, a substance that can cause a sudden and dangerous increase in blood pressure known as a hypertensive crisis. Aged cheeses, such as cheddar, blue cheese, and feta, contain high levels of tyramine, and consuming them while taking an MAOI can lead to this hypertensive crisis.

The other options listed in the question are not directly related to the use of MAOIs in Parkinson's disease:
Eating grapefruit is typically contraindicated with certain medications, but it is not specifically relevant to MAOIs or Parkinson's disease.
Maintaining a low-protein diet is not a standard recommendation for individuals taking MAOIs or Parkinson's disease unless specifically advised by the healthcare provider.
Reducing the intake of high-calorie foods is a general recommendation for overall health and weight management but is not specifically related to the use of MAOIs or Parkinson's disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Avocado is a healthy source of unsaturated fats, which are beneficial for cardiovascular health. Choosing an avocado dip instead of salsa, which is typically low in fat, aligns with the goal of reducing saturated fat intake.
The other statements are incorrect:
Eating the skin on poultry, even if it is broiled, is not recommended for a low-saturated fat diet. Poultry skin contains significant amounts of saturated fat, so it is advisable to remove the skin before consumption to reduce saturated fat intake.
Including 7 ounces of fish in the diet weekly is not specific to a low-saturated fat diet. While fish is a healthy protein source, the recommendation to consume 7 ounces of fish per week is related to the intake of omega-3 fatty acids, which have cardiovascular benefits. However, the specific type of fish and preparation methods should be considered to ensure a low-saturated fat content.
Using margarine on waffles is not advisable for a low-saturated fat diet. Most margarines contain trans fats or hydrogenated oils, which are unhealthy and contribute to an increase in saturated fat intake. It is better to choose healthier alternatives such as spreads made from nuts, seeds, or avocado, or to use a small amount of healthier oils like olive oil or canola oil.
Correct Answer is A
Explanation
Bananas: Bananas are a suitable choice for a client taking digoxin and furosemide. Digoxin is a medication commonly prescribed for heart failure and certain heart rhythm disorders, and maintaining adequate potassium levels is important while taking this medication. Bananas are a good source of potassium and can help prevent or correct low potassium levels (hypokalemia), which can be a potential side effect of both digoxin and furosemide.
Green beans: Green beans can be included in the client's diet when taking digoxin and furosemide. While they are a healthy vegetable choice, they do not have a direct impact on the potassium levels affected by these medications.
Blueberries: Blueberries are a nutritious fruit choice, but they do not have a specific relevance to the client's medication regimen of digoxin and furosemide. They can be part of a balanced diet but are not specifically recommended or contraindicated in this context.
Cucumbers: Cucumbers are a refreshing vegetable choice, but they do not have a direct impact on the potassium levels affected by digoxin and furosemide. While maintaining hydration is important, other foods would be more relevant for addressing potassium needs.

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