A nurse is teaching a client who has a new prescription for an MAOI. Which of the following foods is contraindicated with this medication?

Cheese

Eggs

Potatoes

Grapefruit

Answer and Explanation

The Correct Answer is A

Rationale:

A. Cheese: Aged and fermented cheeses contain high levels of tyramine, which can interact with MAOIs and cause a hypertensive crisis. Clients taking MAOIs must avoid foods rich in tyramine to prevent sudden and dangerous increases in blood pressure. This dietary restriction is a critical safety consideration when prescribing these medications.

B. Eggs: Eggs are low in tyramine and do not interact with MAOIs. They are safe to consume and provide a good source of protein for clients on this medication. No dietary restrictions are required regarding eggs.

C. Potatoes: Potatoes are low in tyramine and do not pose a risk for hypertensive crisis when taken with MAOIs. They can be included safely in the diet of clients receiving this medication.

D. Grapefruit: Grapefruit interacts with certain medications by affecting CYP450 metabolism, but it does not contain significant tyramine and is not contraindicated with MAOIs. While clients may need to avoid grapefruit with other drugs, it is not a concern specifically for MAOI therapy.

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Correct Answer is C

Explanation

Rationale:

A. The client takes a hot bubble bath every day: Frequent hot bubble baths can irritate the skin and mucous membranes, potentially increasing the risk of infections. Daily bathing is acceptable, but water should be warm rather than hot, and bubble baths should be limited.

B. The client washes her perineum first when bathing: Proper hygiene involves washing from front to back to prevent transferring bacteria from the rectal area to the urethra or vagina. Washing the perineum first without this technique increases the risk of urinary tract infections.

C. The client brushes her teeth twice daily: Brushing teeth twice daily is an appropriate and effective oral hygiene practice. It helps prevent dental plaque, cavities, and gum disease, indicating correct understanding of personal hygiene.

D. The client wipes back to front when toileting: Wiping back to front can transfer fecal bacteria to the urethra and genital area, increasing the risk of urinary tract infections. The correct technique is front to back.

A. Inactivated influenza vaccine B. Varicella vaccine C. Tetanus, diphtheria, and acellular pertussis vaccine D. Inactivated polio vaccine E. Rubella vac

Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Inactivated influenza vaccine: The inactivated influenza vaccine is safe during any trimester of pregnancy and helps protect both the mother and the fetus from influenza-related complications. It is routinely recommended for pregnant clients during flu season.

B. Varicella vaccine: The varicella vaccine is a live attenuated vaccine and is contraindicated during pregnancy because it poses a risk of fetal infection and congenital abnormalities. It should be administered before pregnancy or postponed until after delivery.

C. Tetanus, diphtheria, and acellular pertussis vaccine: The Tdap vaccine is recommended during pregnancy, ideally between 27 and 36 weeks gestation, to protect the newborn from pertussis. It is safe and provides passive immunity to the infant.

D. Inactivated polio vaccine: Inactivated polio vaccine (IPV) is safe during pregnancy and can be administered if the client is at risk for exposure or requires immunization. Live attenuated oral polio vaccine is contraindicated.

E. Rubella vaccine: The rubella vaccine is a live attenuated vaccine and is contraindicated during pregnancy due to the risk of congenital rubella syndrome. Women should be screened for immunity prior to pregnancy and vaccinated if nonimmune before conception.

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A nurse is teaching a client who has a new prescription for an MAOI. Which of the following foods is contraindicated with this medication?

Nursing Test Bank

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Explanation

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