Author Question: Mr. P presents with squamous cell carcinoma of the neck and has had a feeding tube placed to allow ... (Read 78 times)

lindiwe · **on:** Aug 2, 2018

Mr. P presents with squamous cell carcinoma of the neck and has had a feeding tube placed to allow feeding during radiation treatment. She has been having diarrhea and is concerned it is caused by the enteral feeding.

The nurse promises to look into this problem, and finds that the probable cause of the diarrhea is the following filler in the liquid medication she is taking that acts as laxative: 1. Yellow dye 5
2. Gluten
3. Sorbital
4. Sodium

Question 2

A meal that should not be eaten by a patient who takes a monoamine oxidase inhibitor (MAOI) is

a. vegetable omelet with grapefruit juice.
b. salami and parmesan cheese sandwich.
c. split pea and ham soup with crackers.
d. beef and vegetable stir fry with rice.

Tonny · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

3
Rationale: Sorbital is a sugar alcohol used as filler in medication that can act as a laxative. Yellow dye 5 is used as a coloring agent is some medications and can cause dermatologic symptoms in clients with an allergy. Gluten should be avoided with clients who may have an allergy or who have celiac disease. Hidden sodium can produce an adverse effect on clients with a sodium-restricted diet.

Answer to Question 2

B
Patients who take MAOIs should avoid foods that contain tyramine, including salami and aged cheeses such as parmesan. Grapefruit or grapefruit juice should be avoided by patients who take certain other drugs, but does not affect MAOIs. None of the other foods listed are high in tyra-mine.