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?

"Maintain a low-protein diet."

"Do not eat grapefruit while taking this medication."

"Avoid aged cheeses while taking this medication."

"Reduce intake of high-calorie foods."

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Maintaining a low-protein diet is not the appropriate instruction for a client taking a monoamine oxidase inhibitor (MAOI). While dietary restrictions are associated with MAOIs, it's primarily focused on avoiding foods rich in tyramine, which is not limited to just protein-containing foods.
Choice B rationale:
Not eating grapefruit while taking medication is generally applicable advice, but it is not specific to MAOIs. Grapefruit can interfere with the metabolism of certain medications by inhibiting specific enzymes. However, it's not a concern solely related to MAOIs.
Choice C rationale:
Avoiding aged cheeses while taking this medication is the correct instruction. Aged cheeses contain tyramine, which can lead to a hypertensive crisis when consumed with MAOIs. Tyramine interacts with MAOIs to increase blood pressure, potentially causing a serious reaction.
Choice D rationale:
Reducing intake of high-calorie foods is not a primary concern when taking MAOIs. The main dietary focus is on avoiding tyramine-rich foods to prevent dangerous interactions. High-calorie foods are not directly contraindicated with MAOIs.

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Correct Answer is A

Explanation

Choice A rationale:
Hyperventilation, or rapid breathing, is a potential manifestation of hyperglycemia in clients with diabetes mellitus. As blood glucose levels rise, the body attempts to eliminate excess glucose through increased urination. This can lead to dehydration and electrolyte imbalances, potentially resulting in hyperventilation as the body tries to compensate for acidosis. The increased respiratory rate is an attempt to expel carbon dioxide and normalize pH levels. Teaching the client about the connection between hyperglycemia and hyperventilation is crucial, as recognizing this symptom can prompt early intervention.
Choice B rationale:
Cool skin is not a typical manifestation of hyperglycemia. Hyperglycemia usually leads to increased blood flow and warm skin due to the vasodilatory effects of high glucose levels. Cool skin might be more indicative of poor peripheral circulation, but it's not directly related to hyperglycemia.
Choice C rationale:
Metallic taste is not a recognized manifestation of hyperglycemia. Hyperglycemia primarily affects the body's glucose metabolism and can lead to symptoms like increased thirst, frequent urination, and fatigue. Metallic taste is not directly linked to hyperglycemia and might be related to other factors.
Choice D rationale:
Anxiety can be a psychological response to the stress of a new diabetes diagnosis, but it is not a specific manifestation of hyperglycemia. Hyperglycemia-related symptoms are more physiological and metabolic in nature, involving glucose regulation and acid-base balance.

A. Pudding. B. Milk. C. Chicken noodle soup. D. Apple juice.

Correct Answer is A

Explanation

Choice A rationale:
Pudding is a suitable choice for a client with dysphagia requiring a level 1 dysphagia diet. Level 1 dysphagia diet consists of pureed, cohesive, and pudding-like foods that are easy to swallow and safe for individuals with swallowing difficulties. Pudding's consistency aligns with this requirement, making it a safe option for the client.
Choice B rationale:
Milk is not an appropriate choice for a level 1 dysphagia diet. Milk is a thin liquid that poses a risk of aspiration for individuals with dysphagia. It does not meet the consistency requirements for safe consumption in this case.
Choice C rationale:
Chicken noodle soup is not suitable for a level 1 dysphagia diet. The soup contains solid ingredients such as noodles and chicken pieces, which can be difficult for individuals with dysphagia to swallow safely. It is important to avoid foods with mixed textures for such clients.
Choice D rationale:
Apple juice is also not appropriate for a level 1 dysphagia diet. Like milk, apple juice is a thin liquid that can increase the risk of aspiration for individuals with swallowing difficulties. It lacks the appropriate consistency for safe consumption by those with dysphagia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new diagnosis of diabetes mellitus about recognizing hyperglycemia. Which of the following manifestations should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has dysphagia and requires a level 1 dysphagia diet. Which of the following foods should the nurse choose for this client?

Correct Answer is A

Explanation

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