A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

Potato chips and diet Coke

Bagels with cream cheese and tea

Apple pie and coffee

Pepperoni pizza and red wine

Answer and Explanation

The Correct Answer is D

D. Pepperoni pizza and red wine are both high in tyramine and should be avoided when taking MAOIs. The aging and fermentation processes involved in the production of pepperoni and red wine increase the tyramine content, which can lead to a dangerous increase in blood pressure when combined with MAOIs.
A. Potato chips are generally considered safe to eat in moderation with MAOIs, as they do not contain high levels of tyramine. Diet Coke is also considered safe as it does not contain tyramine.
B. Bagels with cream cheese typically do not contain high levels of tyramine, and tea is generally considered safe to consume with MAOIs.
C. Apple pie may contain moderate levels of tyramine, particularly if it contains aged or fermented apples. However, the tyramine content in apple pie is generally not high enough to pose a significant risk when consumed in moderation. Coffee, on the other hand, contains tyramine, but the amount is usually not enough to cause a severe reaction.

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Correct Answer is D

Explanation

D. It offers the child a constructive way to release pent-up energy and frustration in a safe and non- confrontational manner. Physical activity can be a helpful tool in managing anger and disruptive behavior, as it allows the child to channel their emotions into a productive activity.
A. This option is not appropriate because it involves isolating the child in a locked room, which could further escalate the situation and may traumatize the child. Seclusion should only be used as a last resort in situations where the child or others are at risk of harm.
B. Physical restraints should only be used as a last resort in situations where the child poses an immediate danger to themselves or others. Using physical restraints can escalate the situation and may cause physical and psychological harm to the child.
C. Medication may be prescribed to manage symptoms of oppositional defiant disorder. However, using a PRN (as needed) anxiolytic medication to manage acute agitation should only be done under the guidance of a healthcare provider.

A. Massage therapy B. Allopathic therapy C. Therapeutic Touch therapy D. Chiropractic therapy

Correct Answer is D

Explanation

D. Chiropractic therapy involves the manual manipulation of the spine to correct vertebral subluxations, which are misalignments or partial dislocations of the vertebrae. Chiropractors use specific techniques to adjust the spine, aiming to restore proper alignment, reduce nerve interference, and improve overall function.

A. Massage therapy can be beneficial for certain musculoskeletal issues and overall wellness but it typically does not involve the manipulation of vertebrae to correct subluxation.
B. Allopathic therapy refers to conventional Western medicine, which includes treatments such as pharmaceutical drugs, surgery, and other interventions aimed at treating diseases or symptoms. Allopathic medicine does not typically involve spinal manipulation for correcting subluxation.
C. Therapeutic Touch is a holistic therapy that involves the practitioner using their hands near the patient's body to detect and manipulate the body's energy field with the goal of promoting healing and relaxation. However, it does not involve direct manipulation of the vertebrae to correct subluxation.

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A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 11-year-old, who is diagnosed with oppositional defiant disorder, becomes angry and disruptive over the rules of the day treatment program. The nurse should de-escalate the situation by:

Correct Answer is D

Explanation

The nurse understands that when a practitioner corrects subluxation by manipulating the vertebrae of the spinal column, the practitioner is employing which therapy?

Correct Answer is D

Explanation

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