Author Question: The client receives phenelzine (Parnate). Which dietary components would indicate the best planning ... (Read 16 times)

lindiwe · **on:** Jul 24, 2018

The client receives phenelzine (Parnate). Which dietary components would indicate the best planning by the nurse and client? (Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Tomato soup
2. Avocado salad
3. Grilled chicken breast
4. Bologna sandwich
5. Wine and beer, in moderation

Question 2

The nurse evaluates a client taking a high daily dose of duloxetine (Cymbalta) for which signs and symptoms? (Select all that apply.)

1. Suicidal ideation
2. Increased libido
3. Liver failure
4. Seizures
5. Hypotension

T4T · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 1, 3

Rationale 1: Tomato soup does not contain tyramine. The client receiving an MAOI must avoid foods high in tyramine. A hypertensive crisis will result if the client eats foods high in tyramine.
Rationale 2: Avocado contains tyramine.
Rationale 3: Grilled chicken breast does not contain tyramine. The client receiving an MAOI must avoid foods high in tyramine. A hypertensive crisis will result if the client eats foods high in tyramine.
Rationale 4: Bologna contains tyramine.
Rationale 5: Wine and beer both contain tyramine.

Global Rationale: Tomato soup and grilled chicken breast do not contain tyramine. The client receiving an MAOI must avoid foods high in tyramine. A hypertensive crisis will result if the client eats foods high in tyramine. Avocado, bolgna, beer and wine all contain tyramine and should be avoided.

Answer to Question 2

Correct Answer: 1, 3, 4

Rationale 1: Suicidal ideation is possible because Cymbalta can cause suicidal ideation.
Rationale 2: Cymbalta causes sexual dysfunction.
Rationale 3: Liver failure is possible because Cymbalta causes liver toxicity at high doses.
Rationale 4: Seizures are possible because Cymbalta lowers seizure threshold at high doses.
Rationale 5: Hypotension is not likely with a high dose of Cymbalta.

Global Rationale: Suicidal ideation is possible because Cymbalta can cause suicidal ideation. Cymbalta causes sexual dysfunction. Liver failure is possible because Cymbalta causes liver toxicity at high doses. Seizures are possible because Cymbalta lowers seizure threshold at high doses. Hypotension is not likely with a high dose of Cymbalta.