Author Question: The nurse is teaching a patient taking a monoamine oxidase inhibitor (MAOI) about dietary changes ... (Read 127 times)

PhilipSeeMore · **on:** Jul 23, 2018

The nurse is teaching a patient taking a monoamine oxidase inhibitor (MAOI) about dietary changes required to minimize adverse effects of the drug. The nurse determines the patient understands a low tyramine diet when what meal is chosen?

A) A chop salad with blue cheese, sardines, and pepperoni
B) A sandwich with turkey, avocado, and Swiss cheese
C) Corned beef hash, eggs, and hash browns
D) A hamburger, French fries, and a strawberry milkshake

Question 2

The nurse is talking with a group of nursing students who are doing clinical hours on the unit. A student asks if all intramuscular (IM) drugs are absorbed the same.

What factor would the floor nurse tell the students to affect absorption of the IM administration of drugs? A) Perfusion of blood to the subcutaneous tissue
B) Integrity of the mucous membranes
C) Environmental temperature
D) Blood flow to the gastrointestinal tract

cuttiesgirl16 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Hamburger, French fries, and a strawberry milkshake do not contain tyramine and, although high in fat, it would not be contraindicated for a patient taking an MAOI. Blue cheese, sardines, pepperoni, Swiss cheese, and corned beef are all high in tyramine and would indicate further teaching was needed.

Answer to Question 2

C
Feedback:
A cold environmental temperature can cause blood vessels to vasoconstrict and decreases absorption or in a hot environment vasodilate and increase absorption of IM medications. Blood flow to the subcutaneous tissues interferes with subcutaneous injection and blood flow to the gastrointestinal (GI) tract causes alterations in absorption for oral medications. The condition of mucous membranes can interfere with sublingual (under the tongue) and buccal (in the cheek) administration of drugs.