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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Benztropine, an anticholinergic medication, can cause urinary retention or difficulty with urination as a side effect due to its anticholinergic properties. Clients should be instructed to report any difficulty voiding promptly, as it can lead to complications such as urinary tract infections or bladder distention.
B. Benztropine is not typically associated with diarrhea as an adverse effect.

C. While anticholinergic medications can cause tachycardia (increased heart rate) due to their anticholinergic effects, they are not associated with slow pulse.
D. Benztropine is used to decrease excessive salivation (sialorrhea) rather than causing it as an adverse effect.

A. "Stop taking alprazolam right away if you experience abdominal discomfort." B. "Watch for drowsiness and light-headedness while taking alprazolam." C. "Drinking alcohol decreases the effectiveness of alprazolam." D. "This medication has a low risk for physical dependence."

Correct Answer is B

Explanation

A. Abruptly stopping alprazolam can lead to withdrawal symptoms, and abdominal discomfort alone may not necessarily indicate a need for immediate cessation of the medication.
B. Alprazolam is a benzodiazepine with sedative properties, so drowsiness and light- headedness are common side effects. Patients should be cautious when engaging in activities requiring alertness, such as driving, while taking alprazolam.
C. Alcohol should be avoided while taking alprazolam due to the potential for increased sedation and central nervous system depression. However, it does not directly affect the effectiveness of the medication.
D. Alprazolam, like other benzodiazepines, has a high potential for physical dependence, and abrupt discontinuation can lead to withdrawal symptoms. Patients should be informed about the risk of dependence and the need for gradual tapering if discontinuation becomes necessary.

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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?

Nursing Test Bank

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