A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.
Which of the following instructions should the nurse include when reinforcing the teaching?.

Withhold dose if having a fine hand tremor.

Avoid foods with a high tyramine content.

Limit daily fluid intake.

Follow a low-sodium diet.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.

Choice B rationale:

Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.

Choice C rationale:

Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.

Choice D rationale:

Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day.

So, the correct answer is, none of the above.

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Correct Answer is B

Explanation

Choice A rationale:

Fresh fish is not a food that needs to be eliminated from the diet of a client taking an MAOI like selegiline. It does not contain tyramine, which can cause a hypertensive crisis in clients taking MAOIs.

Choice B rationale:

Cheddar cheese is a food high in tyramine and should be eliminated from the diet of a client taking an MAOI. Consuming foods high in tyramine can lead to a hypertensive crisis in these clients.

Choice C rationale:

Cherries are not a food that needs to be eliminated from the diet of a client taking an MAOI. They do not contain tyramine.

Choice D rationale:

Chicken is not a food that needs to be eliminated from the diet of a client taking an MAOI. It does not contain tyramine.

So, the correct answer is B. Cheddar cheese.

A. 2% milk. B. Sliced apples. C. Avocados. D. Celery sticks.

Correct Answer is C

Explanation

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.

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A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.Which of the following instructions should the nurse include when reinforcing the teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is modifying the diet of a client who has Parkinson's disease and a prescription for selegiline, a monamine oxidase inhibitor (MAOI). Which of the following foods should the nurse eliminate from the client's diet?.

Correct Answer is B

Explanation

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?.

Correct Answer is C

Explanation

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A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.
Which of the following instructions should the nurse include when reinforcing the teaching?.