The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?

Egg salad sandwich

Pepperoni pizza

Pancakes and maple syrup

Fried eggs over-easy

Answer and Explanation

The Correct Answer is B

A. Egg salad sandwich: Eggs are generally considered safe to consume with MAOIs. There are no significant interactions between egg salad and MAOIs.
B. Pepperoni pizza: Pepperoni contains high levels of tyramine, which can cause a hypertensive crisis when consumed with MAOIs. Therefore, pepperoni pizza should be avoided by patients
taking MAOIs.

C. Pancakes and maple syrup: Pancakes and maple syrup are generally safe choices with MAOIs, as they do not contain high levels of tyramine.
D. Fried eggs over-easy: Like egg salad, fried eggs are generally considered safe to consume with MAOIs. There are no significant interactions between fried eggs and MAOIs.

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Correct Answer is D

Explanation

A. "I know that I cannot switch brands of this medication." - This statement indicates an understanding of the importance of consistency in medication use. Phenytoin requires consistent dosing and should not be switched between different brands without consulting a healthcare provider.
B. "I have made an appointment to see my dentist next week." - This statement shows awareness of the need for dental care while taking phenytoin. Phenytoin can cause gum hyperplasia, so regular dental check-ups are recommended.

C. "I will notify my doctor before taking any other medications." - This statement demonstrates understanding of the potential for drug interactions with phenytoin. Phenytoin can interact with many other medications, so it's crucial to consult a doctor before starting any new medications.
D. "I'll be glad when I can stop taking this medicine." - This statement indicates a

misunderstanding about the management of epilepsy. Phenytoin is typically a long-term medication used to control seizures, and it's not usually discontinued unless directed by a healthcare provider. Further teaching is needed to address this misconception.

A. The benefit to eating frequent small meals during the day B. Perform more frequent blood glucose checks due to effects of the drug C. The need to weight himself once per week at the same time of the day D. The correct method for taking their own apical pulse

Correct Answer is A

Explanation

A. The benefit to eating frequent small meals during the day: Nonselective beta-blockers can mask symptoms of hypoglycemia, making it harder for patients with diabetes to recognize low
blood sugar levels. Eating frequent small meals can help stabilize blood sugar levels and reduce the risk of hypoglycemia.
B. Perform more frequent blood glucose checks due to effects of the drug: While it's important for patients with diabetes to monitor their blood glucose levels regularly, this instruction doesn't directly address the potential masking of hypoglycemia symptoms by beta-blockers.
C. The need to weight himself once per week at the same time of the day: Weight monitoring is important for overall health management but is not specifically related to the use of nonselective beta-blockers in diabetes management.
D. The correct method for taking their own apical pulse: Knowing how to take one's own apical pulse is important for some individuals, but it's not directly related to the management of
diabetes with nonselective beta-blockers.

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The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is D

Explanation

The nurse is caring for a 64-year-old male client with diabetes who is being treated with a nonselective beta-blocker. What health education should the nurse prioritize with this client?

Correct Answer is A

Explanation

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