{"id":143212,"date":"2024-09-23T06:58:05","date_gmt":"2024-09-23T06:58:05","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=143212"},"modified":"2024-09-23T06:58:07","modified_gmt":"2024-09-23T06:58:07","slug":"a-client-with-bulimia-and-depression-who-is-taking-phenelzine-90-mg-daily-is-admitted-to-an-acute-care-hospital-for-uncontrolled-hypertension","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/23\/a-client-with-bulimia-and-depression-who-is-taking-phenelzine-90-mg-daily-is-admitted-to-an-acute-care-hospital-for-uncontrolled-hypertension\/","title":{"rendered":"A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension."},"content":{"rendered":"\n<p>A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary choices should the nurse instruct the client to avoid?<br>A.<br>Beef tips with gravy.<\/p>\n\n\n\n<p>B.<br>Deep-fried shrimp.<\/p>\n\n\n\n<p>C.<br>Pepperoni pizza.<\/p>\n\n\n\n<p>D.<br>Pan-seared catfish.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>C. Pepperoni pizza<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>Phenelzine is a monoamine oxidase inhibitor (MAOI) commonly used to treat depression. One of the critical considerations when a client is taking an MAOI like phenelzine is the dietary restriction concerning tyramine, an amino acid that can significantly affect blood pressure. Tyramine is found in various foods, especially those that are aged, cured, fermented, or processed. When ingested, tyramine can lead to hypertensive crises in patients taking MAOIs by displacing norepinephrine and causing vasoconstriction.<\/p>\n\n\n\n<p><strong>Dietary Restrictions:<\/strong> Clients on phenelzine should avoid high-tyramine foods to prevent adverse reactions. Among the options provided:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Beef tips with gravy:<\/strong> Depending on the preparation, this dish may contain beef that is aged or processed, which can have higher levels of tyramine.<\/li>\n\n\n\n<li><strong>B. Deep-fried shrimp:<\/strong> Generally, shrimp is not high in tyramine. This option is usually safe unless it\u2019s prepared with high-tyramine sauces or accompaniments.<\/li>\n\n\n\n<li><strong>C. Pepperoni pizza:<\/strong> Pepperoni is a processed meat, typically high in tyramine due to the curing process. Consuming pepperoni while on phenelzine poses a significant risk for triggering hypertensive episodes.<\/li>\n\n\n\n<li><strong>D. Pan-seared catfish:<\/strong> Fresh fish like catfish is generally low in tyramine, making it a safer option for clients on MAOIs.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusion:<\/h3>\n\n\n\n<p>Given the risk of hypertensive crisis associated with high-tyramine foods, the nurse should instruct the client to avoid <strong>C. Pepperoni pizza<\/strong>. This dietary caution is essential for managing the client\u2019s uncontrolled hypertension and ensuring safe medication management while addressing their mental health condition. Educating the client about food choices is crucial in avoiding complications related to their treatment with phenelzine.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary choices should the nurse instruct the client to avoid?A.Beef tips with gravy. B.Deep-fried shrimp. C.Pepperoni pizza. D.Pan-seared catfish. The Correct answer and Explanation is: The correct answer is C. Pepperoni [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-143212","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/143212","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=143212"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/143212\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=143212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=143212"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=143212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}