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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Acetaminophen is generally considered safe for patients with a history of peptic ulcer disease.
It does not irritate the gastrointestinal mucosa like nonsteroidal anti-inflammatory drugs (NSAIDs).
B. Patients with a history of liver disease should not receive acetaminophen or should use it with caution and under close supervision, as acetaminophen is metabolized in the liver. Liver
impairment can lead to decreased metabolism of acetaminophen, potentially resulting in drug accumulation and hepatotoxicity.
C. Acetaminophen is commonly used to relieve mild to moderate headaches. However, the appropriateness of acetaminophen use in this scenario depends on the patient's overall health status and any contraindications specific to the individual.
D. Acetaminophen is often used to reduce fever. A fever of 101°F (38.3°C) alone does not necessarily contraindicate acetaminophen use, but caution should be exercised in patients with liver disease.
Correct Answer is B
Explanation
A. Assessing the WBC count is not directly related to the administration of a nonselective adrenergic blocker. These medications primarily affect the cardiovascular system.
B. Assessing pulse and blood pressure is crucial before administering a nonselective adrenergic blocker. These medications can cause bradycardia and hypotension as side effects, so it's
important to ensure the client's baseline pulse and blood pressure are within acceptable ranges before giving the medication.
C. Assessing bowel sounds is not directly related to the administration of a nonselective adrenergic blocker. These medications primarily affect the cardiovascular system.
D. Assessing serum sodium and potassium levels is not directly related to the administration of a nonselective adrenergic blocker. These medications primarily affect the cardiovascular system.
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