The nurse was leading a medication management group for clients who were being discharged from the hospital. Which of these statements made by a client taking phenelzine (Nardil) would warrant further instruction?
1. "I sometimes forget to wear sunscreen when I go for a walk."
2. "I need to restrict the amount of sodium in my diet."
3. "I should not use over-the-counter cold medications."
4. "I usually order liver and onions when my wife and I eat out."
ANS: 4
MAOIs require clients to observe a tyramine-free diet to prevent hypertensive crisis. Liver is a food that contains large amounts of tyramine. Options 1, 2, and 3 have no relevance for MAOI therapy.
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