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. Clozapine is an antipsychotic medication commonly used to treat schizophrenia.

Reduction in auditory hallucinations is a positive therapeutic outcome indicating the medication's efficacy in managing psychotic symptoms.
B. While clozapine may have antiepileptic properties, it's primarily used for its antipsychotic effects rather than controlling seizures.
C. Weight gain is a common side effect of clozapine rather than an indicator of therapeutic effect.
D. Clozapine is associated with the potential for agranulocytosis, a severe adverse effect characterized by a decreased white blood cell count, but this is not a measure of therapeutic effect.

A. Ginger root B. St. John's wort C. Gingko biloba D. Glucosamine

Correct Answer is B

Explanation

A. Ginger root is not known to reduce the effectiveness of oral contraceptives significantly.

B. St. John's wort is an herbal supplement that can induce the cytochrome P450 enzyme system, leading to increased metabolism of oral contraceptives and potentially reducing their effectiveness. Women taking oral contraceptives should be cautioned against using St. John's wort or advised to use alternative contraceptive methods.
C. Gingko biloba is not known to reduce the effectiveness of oral contraceptives significantly.
D. Glucosamine is not known to reduce the effectiveness of oral contraceptives significantly.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and is receiving clozapine. For which of the following findings should the nurse monitor to determine if the medication is having a therapeutic effect?

Correct Answer is A

Explanation

A nurse is assisting with the preparation of an educational program about the use of oral contraceptives. The nurse should include that which of the following herbal supplements reduces the effectiveness of oral contraceptives?

Correct Answer is B

Explanation

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