A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having the highest tyramine content?
Avocadoes
2% milk
Sliced apples
Celery sticks
The Correct Answer is A
A. Tyramine is found in various foods and its levels increase when food is aged or fermented. Avocados, especially if they are overripe, can contain higher levels of tyramine compared to the other options listed. It is important for individuals taking MAOIs to manage their intake of tyramine-rich foods to avoid adverse reactions.
B. 2% milk does not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
C. Sliced apples do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
D. Celery sticks do not contain significant levels of tyramine compared to aged or fermented foods like avocadoes.
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Related Questions
Correct Answer is A
Explanation
A. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can cause changes in weight.
Reporting weight changes to the healthcare provider is important for monitoring and managing potential side effects.
B. Fluoxetine and other antidepressants should not be stopped abruptly without consulting a healthcare provider, even if the client starts feeling better. Abrupt discontinuation can lead to withdrawal symptoms and worsening of depression.
C. Fluoxetine does not typically interact with cheese or tyramine-containing foods. This statement reflects a misunderstanding of the medication's dietary restrictions.
D. Fluoxetine is usually taken once daily in the morning due to its potential to cause insomnia as a side effect. Taking it at bedtime may exacerbate sleep disturbances.
Correct Answer is A
Explanation
A. Diazepam, a benzodiazepine, is known to cause drowsiness and sedation as a common side effect. Patients should be advised to avoid activities requiring mental alertness, such as driving or operating machinery, until they understand how the medication affects them.
B. Even a single dose of diazepam can cause side effects such as drowsiness, dizziness, and impaired coordination. Patients should be aware of potential side effects regardless of the number of doses taken.
C. While grapefruit juice can interact with certain medications by affecting their metabolism, it doesn't directly inactivate diazepam. However, it may increase the risk of side effects by altering the metabolism of the medication, leading to higher blood levels.
D. Tyramine is not typically a concern with diazepam. Tyramine-containing foods are more relevant in the context of monoamine oxidase inhibitors (MAOIs), a different class of medications used to treat depression.
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