A client is seen in the emergency department complaining of sudden onset of a throbbing headache. The client is taking a monoamine oxidase inhibitor (MAOI), and admits to having eaten a lot of aged cheese recently
The nurse should assess the client for which other symptoms?
1. Abdominal cramping
2. Hypotension
3. Stiff neck
4. Diaphoresis
Answer: 3
1. Abdominal cramping is not a manifestation of a hypertensive crisis.
2. Hypotension is not associated with a hypertensive crisis.
3. The combination of tyramine-containing foods (aged cheese) and MAOIs can cause a hypertensive crisis, manifested by a throbbing headache, heart palpitations, hypertension, and a stiff neck.
4. Diaphoresis is not a manifestation of hypertensive crisis.
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