Author Question: A nurse is assessing a patient taking a monoamine oxidase inhibitor who complains of a headache, ... (Read 38 times)

TVarnum · **on:** Jul 23, 2018

A nurse is assessing a patient taking a monoamine oxidase inhibitor who complains of a headache, nausea, and vomiting.

The patient's vital signs are pulse 128/minute, blood pressure 194/106, and, respiration 30/minute. The patient confesses to the nurse that she has been drinking a glass of red wine with dinner each night. The nurse would be correct to suspect the patient is experiencing which of the following health alterations?
a. Allergic reaction
b. Reflex tachycardia
c. Rebound hypertension
d. Hypertensive crisis

Question 2

A patient comes to the clinic for a routine blood pressure check. After reviewing the patient's medications, a nurse recognizes that the patient is taking a monoamine oxidase inhibitor.

The nurse provides patient education regarding diet. Which breakfast choice made by the patient would indicate the need for additional teaching?
a. Orange juice
b. Carbonated beverages
c. Fried eggs
d. Yogurt

dominiqueenicolee · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Hypertensive crisis is characterized by hypertension, headache, tachycardia, nausea, and vomiting; it can be brought on if the patient eats foods rich in tyramine, such as aged cheese and wine, while taking a monoamine oxidase inhibitor to manage depression.
The patient's cluster of symptoms is not indicative of an allergic reaction, reflex tachycardia, or rebound hypertension.

Answer to Question 2

ANS: D
Yogurt, aged cheeses, chocolate, red wine, and other foods with tyramine are contraindicated in patients taking monoamine oxidase inhibitors, because they can precipitate a hypertensive crisis.
Orange juice, carbonated beverages, and fried eggs are not contraindicated in patients taking monoamine oxidase inhibitors.