An older patient is prescribed a monoamine oxidase inhibitor (MAOI) medication. Which meal choice requires the nurse to intervene immediately?
1. Smoked salmon with salad and bleu cheese dressing
2. Grilled chicken salad on whole wheat with fresh fruit
3. Turkey sandwich with American cheese and coleslaw
4. Chicken salad on a croissant, carrot sticks, and fresh apple
1. Smoked salmon with salad and bleu cheese dressing
Explanation: 1. Because these drugs inhibit the metabolism of norepinephrine, hypertensive crisis can occur if they are administered with other drugs or food that raise blood pressure such as anticholinergics, stimulants, and foods containing tyramine including smoked meats and fish, red wine, aged cheese, beer, bologna, pepperoni, liver, raisins, and bananas.
2. None of these food items contain tyramine, which should be avoided in the patient receiving a MAOI.
3. None of these food items contain tyramine, which should be avoided in the patient receiving a MAOI.
4. None of these food items contain tyramine, which should be avoided in the patient receiving a MAOI.
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