Your new patient is taking an MAOI for severe depression. What would you tell the dietary department about her upcoming meals?

No gluten.

No extra salt.

No processed lunch meat.

No caffeine.

Answer and Explanation

The Correct Answer is C

Choice A reason: Gluten is not typically restricted for patients taking MAOIs unless they have a separate condition that requires this diet.

Choice B reason: Extra salt does not interact with MAOIs, so it is not necessary to avoid it unless the patient has other health concerns that require a low-sodium diet.

Choice C reason: Processed lunch meats are high in tyramine, which can cause dangerous interactions with MAOIs, leading to hypertensive crises.

Choice D reason: While caffeine may need to be limited, it is not as critical as avoiding high-tyramine foods like processed lunch meats when taking MAOIs.

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Correct Answer is D

Explanation

Choice A reason: This approach is non-intrusive and allows the patient to become accustomed to the presence of others without feeling pressured to interact, which can be beneficial for someone with major depressive disorder who is isolating themselves.

Choice B reason: While group therapy is important, insisting that the patient comes with you when they are isolating themselves might be too forceful and could lead to increased resistance or distress.

Choice C reason: Introducing the patient to others is a good step, but it should not be the first approach if the patient is actively isolating and may not be ready for social interaction.

Choice D reason: Asking "What are you thinking about?" can be a good way to start a conversation, but it might be too direct for a patient who is not yet ready to open up and could feel invasive.

A. Creatine kinase B. Myoglobin C. Troponin D. Serum B-type natriuretic peptide (BNP)

Correct Answer is D

Explanation

Choice A reason: Creatine kinase can be elevated in heart failure but is not as specific as BNP for this condition.

Choice B reason: Myoglobin is a muscle protein that can be released into the bloodstream after muscle injury, including heart muscle, but it is not as specific for heart failure as BNP.

Choice C reason: Troponin is a marker of heart muscle injury and can be elevated in heart failure, but BNP is more directly related to the diagnosis and severity of heart failure.

Choice D reason: Serum B-type natriuretic peptide (BNP) is specifically released by the ventricles in response to excessive stretching of heart muscle cells, making it a key marker for heart failure. Elevated levels of BNP are directly correlated with the severity of heart failure and are important for both diagnosis and management.

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Your new patient is taking an MAOI for severe depression. What would you tell the dietary department about her upcoming meals?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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