A nurse is preparing to administer fluoxetine 30 mg PO for a client who has depression and cannot swallow capsules.

Available is fluoxetine 20 mg/5 mL oral solution.

How many mL should the nurse plan to administer? (Round to the nearest tenth.

Use a leading zero if it applies.

The correct answer is: C. Avocados.

Choice A reason: Milk, especially when fresh and not aged, is generally low in tyramine. The tyramine content in milk does not significantly increase unless the milk is fermented or nearing expiration. Therefore, 2 % milk is considered a safe option for individuals taking MAOIs.

Choice B reason: Fresh fruits like apples are typically low in tyramine. However, as fruits ripen or become overripe, their tyramine content can increase. Since the question specifies “sliced apples,” which are likely to be fresh, they would not have a high tyramine content and are considered safe for someone on MAOIs.

Choice C reason: Avocados, particularly if they are overripe, contain higher levels of tyramine compared to other foods listed. Overripe avocados can have a tyramine content that is high enough to be of concern for individuals taking MAOIs, making them the food choice with the highest tyramine content among the options provided.

Choice D reason: Celery is a low-tyramine food and is safe for consumption by individuals on MAOI therapy. There is no significant increase in tyramine content in celery, even as it ages, making it a suitable option for those with dietary restrictions related to MAOIs.

Answer and explanation

Step 1 is to calculate the volume of haloperidol lactate oral solution that contains 7 mg of haloperidol lactate. This is done by dividing the prescribed dose (7 mg) by the concentration of the oral solution (2 mg/mL). So, 7 mg ÷ 2 mg/mL = 3.5 mL.

So, the correct answer is 3.5 mL.