A nurse is teaching a client who is to start taking phenelzine for major depressive disorder. Which of the following foods should the nurse teach the client to avoid consuming while taking this medication?

Cheddar cheese

Bananas

Chicken

Peanut butter

Answer and Explanation

The Correct Answer is A

A. Cheddar cheese: Cheddar and other aged cheeses contain high levels of tyramine, which can precipitate a hypertensive crisis when consumed by clients taking MAOIs like phenelzine. Avoiding aged cheeses is critical to prevent severe cardiovascular complications.

B. Bananas: Fresh bananas contain low levels of tyramine and are generally safe to consume in moderation while taking MAOIs. Only overripe bananas with high tyramine content should be limited, but this is less of a concern than aged cheeses.

C. Chicken: Fresh chicken does not contain significant tyramine and is safe to include in the diet while taking phenelzine. Properly cooked and stored poultry does not pose a risk for hypertensive crisis.

D. Peanut butter: Peanut butter contains minimal tyramine and is considered safe for clients on MAOIs. Only improperly stored or aged peanut products might pose a slight risk, making it much less critical than avoiding aged cheeses.

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Correct Answer is D

Explanation

A. Jugular vein distention: Jugular vein distention is more indicative of right-sided heart failure due to increased venous pressure. While important to note, it is not a primary sign of left-sided heart failure.

B. Weight gain: Weight gain can occur in both right- and left-sided heart failure due to fluid retention. However, it is a nonspecific finding and does not localize the dysfunction to the left side of the heart.

C. Peripheral edema: Peripheral edema is commonly associated with right-sided heart failure, where fluid backs up into the extremities. It is not the earliest or most specific sign of left-sided heart failure.

D. Bilateral lung crackles: Crackles on auscultation of the lungs indicate pulmonary congestion or fluid accumulation, a hallmark of left-sided heart failure. This finding reflects impaired left ventricular function and should be reported promptly to the provider for evaluation and management.

A. Inform the client of available community resources. B. Assist the client in finding child care options. C. Agree upon short-term goals for the client. D. Ask the client about their understanding of the diagnosis.

Correct Answer is D

Explanation

A. Inform the client of available community resources: While providing information about resources is important for ongoing support, it is secondary to assessing the client’s current understanding and emotional state regarding their terminal diagnosis.

B. Assist the client in finding child care options: Child care support is a practical need but should be addressed after establishing the client’s comprehension of their condition and immediate priorities for care and planning.

C. Agree upon short-term goals for the client: Goal setting is essential for care planning, but it depends on the client’s understanding of their prognosis and needs. Establishing understanding first ensures that goals are realistic and meaningful.

D. Ask the client about their understanding of the diagnosis: Clarifying the client’s understanding is the priority because it guides all subsequent teaching, decision-making, and care planning. It ensures that interventions align with the client’s knowledge, values, and preferences at this critical stage.

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A nurse is teaching a client who is to start taking phenelzine for major depressive disorder. Which of the following foods should the nurse teach the client to avoid consuming while taking this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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