A nurse taught a patient about a tyramine-restricted diet. Which ...

[RYAN BANYAN]

A nurse taught a patient about a tyramine-restricted diet. Which menu selection would the nurse approve?
 
  a. Macaroni and cheese, hot dogs, banana bread, caffeinated coffee
  b. Mashed potatoes, ground beef patty, corn, green beans, apple pie
  c. Avocado salad, ham, creamed potatoes, asparagus, chocolate cake
  d. Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls

Question 2

A patient diagnosed with depression begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. The nurse should provide information to the patient and family about:
 
  a. restricting sodium intake to 1 gram daily.
  b. minimizing exposure to bright sunlight.
  c. reporting increased suicidal thoughts.
  d. maintaining a tyramine-free diet.

[swimkari]

Answer to Question 1

ANS: B
The correct answer describes a meal that contains little tyramine. Vegetables and fruits contain little or no tyramine. Fresh ground beef and apple pie are safe. The other meals contain various amounts of tyramine-rich foods or foods that contain vasopressors: avocados, ripe bananas (banana bread), sausages/hot dogs, smoked meat (ham), cheddar cheese, yeast, caffeine drinks, and chocolate.

Answer to Question 2

ANS: C
Some evidence indicates that suicidal ideation may worsen at the beginning of antidepressant therapy; thus, close monitoring is necessary. Avoiding exposure to bright sunlight and restricting sodium intake are unnecessary. Tyramine restriction is associated with monoamine oxidase inhibitor (MAOI) therapy.