A nurse is teaching a client who has Parkinson's disease and is prescribed a monoamine oxidase inhibitor. Which of the following instructions should the nurse include?
"Maintain a low-protein diet."
"Do not eat grapefruit while taking this medication."
"Avoid aged cheeses while taking this medication."
"Reduce intake of high-calorie foods."
The Correct Answer is C
Choice A rationale:
Maintaining a low-protein diet is not the appropriate instruction for a client taking a monoamine oxidase inhibitor (MAOI). While dietary restrictions are associated with MAOIs, it's primarily focused on avoiding foods rich in tyramine, which is not limited to just protein-containing foods.
Choice B rationale:
Not eating grapefruit while taking medication is generally applicable advice, but it is not specific to MAOIs. Grapefruit can interfere with the metabolism of certain medications by inhibiting specific enzymes. However, it's not a concern solely related to MAOIs.
Choice C rationale:
Avoiding aged cheeses while taking this medication is the correct instruction. Aged cheeses contain tyramine, which can lead to a hypertensive crisis when consumed with MAOIs. Tyramine interacts with MAOIs to increase blood pressure, potentially causing a serious reaction.
Choice D rationale:
Reducing intake of high-calorie foods is not a primary concern when taking MAOIs. The main dietary focus is on avoiding tyramine-rich foods to prevent dangerous interactions. High-calorie foods are not directly contraindicated with MAOIs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Serving foods hot might seem like a way to enhance the aroma and taste, which could be appealing to the client. However, hot foods might worsen nausea and discomfort for someone undergoing radiation therapy due to their heightened sensitivity to smells. This choice doesn't directly address the client's symptoms.
Choice B rationale:
Increasing the intake of liquids at mealtime could be helpful to prevent dehydration, but it doesn't directly address the reported symptoms of nausea, stomatitis (inflammation of the mouth), and weight loss. Moreover, certain liquids might irritate the client's throat, making this choice less suitable.
Choice C rationale:
Consuming foods high in fat content is not the ideal choice for this client. Fat-rich foods can be heavy and difficult to digest, potentially exacerbating nausea and not being well-tolerated by someone experiencing stomatitis.
Choice D rationale:
The best choice is to recommend foods high in protein. Protein is essential for tissue repair, immune function, and maintaining lean body mass. Given the client's reported weight loss and stomatitis, protein-rich foods can aid in promoting tissue healing and preventing further muscle loss. Additionally, focusing on protein sources that are easy to swallow and tolerate can address the client's discomfort while supporting their nutritional needs.
Correct Answer is C
Explanation
The correct answer is choice c. Omega-3 fatty acids.
Choice A rationale:
Magnesium is generally abundant in a vegan diet, as it is found in many plant-based foods such as nuts, seeds, and leafy green vegetables.
Choice B rationale:
Vitamin A can be obtained from plant sources in the form of beta-carotene, which the body can convert into vitamin A. Therefore, vegans are not at high risk for vitamin A deficiency if they consume a variety of colorful fruits and vegetables.
Choice C rationale:
Omega-3 fatty acids are primarily found in fish and other seafood, which are not part of a vegan diet. While some plant-based sources like flaxseeds, chia seeds, and walnuts provide ALA (a type of omega-3), they may not be sufficient to meet the body’s needs for EPA and DHA, the more active forms of omega-3 fatty acids.
Choice D rationale:
Potassium is readily available in a wide range of fruits and vegetables, such as bananas, potatoes, and spinach, making it unlikely for vegans to be deficient in this nutrient.
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