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A nurse is modifying the diet of a client prescribed an MAOI. Which of the following foods should the nurse eliminate?

A.

Cherries

B.

Cheddar cheese

C.

Chicken

D.

Fresh fish

Answer and Explanation

The Correct Answer is B

A. Cherries do not contain tyramine, which is the compound of concern for clients on MAOIs, so they can be included in the diet.  

 

B. Cheddar cheese is high in tyramine, which can lead to hypertensive crises when consumed by clients taking MAOIs. Therefore, it should be eliminated from the diet.  

 

C. Chicken is generally safe for clients on MAOIs as it does not contain significant amounts of tyramine.  

 

D. Fresh fish is also safe to consume while on MAOIs as long as it is fresh and not aged, fermented, or spoiled, which could contain higher tyramine levels.


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View Related questions

Correct Answer is B

Explanation

A. Cherries do not contain tyramine, which is the compound of concern for clients on MAOIs, so they can be included in the diet.

B. Cheddar cheese is high in tyramine, which can lead to hypertensive crises when consumed by clients taking MAOIs. Therefore, it should be eliminated from the diet.

C. Chicken is generally safe for clients on MAOIs as it does not contain significant amounts of tyramine.

D. Fresh fish is also safe to consume while on MAOIs as long as it is fresh and not aged, fermented, or spoiled, which could contain higher tyramine levels.

Correct Answer is C

Explanation

A. Lithium is not considered addictive in the traditional sense, and it does not need to be discontinued after six months unless clinically indicated.

B. Diuretics are generally avoided in patients taking lithium due to the risk of lithium toxicity from altered renal clearance, rather than being a routine prescription for difficulty urinating.

C. Close monitoring of lithium levels is crucial to avoid toxicity and ensure therapeutic efficacy, making this statement correct and essential for the patient’s education.

D. While weight gain can occur with lithium therapy, it is not an indicator of lithium toxicity; symptoms of toxicity include nausea, tremors, and confusion rather than weight gain.

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