A nurse is reinforcing teaching with a client who is scheduled for electroconvulsive therapy (ECT) for major depressive disorder. Which of the following statements should the nurse include in the teaching?

A. Smoked turkey: Smoked, cured, or processed meats contain high levels of tyramine, which can interact with MAOIs like isocarboxazid, potentially causing a hypertensive crisis. Clients on MAOIs must avoid foods high in tyramine to prevent dangerous blood pressure spikes.

B. Strawberries: Fresh strawberries are low in tyramine and generally safe for clients taking MAOIs. They do not pose a significant risk of interaction with isocarboxazid.

C. Yogurt: Plain yogurt contains only minimal tyramine and is typically considered safe in moderation. It does not usually precipitate hypertensive reactions with MAOIs unless it is aged or fermented.

D. 1% milk: Milk is low in tyramine and does not interact significantly with MAOIs. It is generally considered safe for consumption while on isocarboxazid.

E. Tomatoes: Fresh tomatoes have low tyramine content and are safe for clients on MAOIs. Only aged or processed tomato products (e.g., sauces, paste) pose a risk.

F. Lettuce: Lettuce contains negligible tyramine and does not interact with MAOI therapy, making it safe for the client to consume.

G. Swiss cheese: Aged cheeses like Swiss contain high levels of tyramine, which can interact with isocarboxazid and increase the risk of hypertensive crisis. Clients on MAOIs should avoid all aged cheeses.

H. Avocados: Overripe avocados contain significant tyramine and can trigger hypertensive reactions in clients taking MAOIs. Only unripe or fresh avocados are considered safer, but caution is generally advised.

A. "Based on your admission, this procedure is mandatory.": ECT is a voluntary treatment, and informed consent is required. Stating it is mandatory is misleading and violates ethical and legal standards.

B. "You only need to receive this treatment once.": ECT is typically administered in a series of treatments, often multiple sessions per week for several weeks, depending on the client’s response. One session is usually insufficient for therapeutic effect.

C. "You will be sedated during the procedure.": ECT is performed under general anesthesia with a short-acting sedative and a muscle relaxant. Teaching the client that they will be sedated prepares them for the procedure, reduces anxiety, and ensures informed consent.

D. "The procedure will have no lingering effects.": ECT can have side effects, including short-term memory loss, confusion, and headache. Telling the client there are no lingering effects is inaccurate and could result in unmet expectations or mistrust.