A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

Potato chips and diet Coke

Bagels with cream cheese and tea

Apple pie and coffee

Pepperoni pizza and red wine

Answer and Explanation

The Correct Answer is D

D. Pepperoni pizza and red wine are both high in tyramine and should be avoided when taking MAOIs. The aging and fermentation processes involved in the production of pepperoni and red wine increase the tyramine content, which can lead to a dangerous increase in blood pressure when combined with MAOIs.
A. Potato chips are generally considered safe to eat in moderation with MAOIs, as they do not contain high levels of tyramine. Diet Coke is also considered safe as it does not contain tyramine.
B. Bagels with cream cheese typically do not contain high levels of tyramine, and tea is generally considered safe to consume with MAOIs.
C. Apple pie may contain moderate levels of tyramine, particularly if it contains aged or fermented apples. However, the tyramine content in apple pie is generally not high enough to pose a significant risk when consumed in moderation. Coffee, on the other hand, contains tyramine, but the amount is usually not enough to cause a severe reaction.

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Correct Answer is C

Explanation

C. This statement raises significant concern for possible emotional or psychological abuse. Comparing the child unfavorably to siblings and implying that the child is not as "good" as others could indicate a pattern of emotional maltreatment.
A. This statement does not raise suspicion of child abuse. It merely describes the child's intelligence and does not provide any indication of potential abuse.
B. it is possible for children to sustain injuries due to clumsiness or accidents but this statement alone does not necessarily raise suspicion of child abuse.
D. This statement, on its own, does not necessarily indicate child abuse.

A. Insert a nasogastric tube B. Monitor airway and vital signs C. Insert an indwelling urinary catheter or monitor output D. Anticipate and treat hyperpyrexia with cooling measures

Correct Answer is B

Explanation

B. Naloxone administration can rapidly reverse the effects of opioids, potentially leading to the rapid onset of opioid withdrawal symptoms, which may include respiratory depression. Therefore, close monitoring of the client's airway, respiratory rate, oxygen saturation, blood pressure, and heart rate is critical to ensure their safety and stability.
A. Assessing and managing the client's gastrointestinal status may be necessary depending on the clinical situation but it is not the most urgent concern immediately following naloxone administration.
C. Assessing urinary output and ensuring adequate fluid balance is important. However, it is not the highest priority immediately after naloxone administration.
D. Hyperpyrexia, or extremely high fever, is not a common immediate concern following naloxone administration.

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A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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