The nurse is providing discharge instructions to a client who has been started on a monoamine oxidase inhibitor (MAOI). Which statement indicates that the client needs further teaching?

Question

1. "I might need to monitor my blood sugars more closely."
2. "I'm not sure how I am going to wake up without my morning coffee."
3. "I sure would like to stop by Pizza Hut for a pizza on my way home from the hospital."
4. "I will try to get out of bed more slowly."

Answer 1

Correct Answer: 3
Rationale 1: MAOIs potentiate the effects of insulin and other diabetic drugs, so blood sugars will need to be monitored more closely until regulation is verified.
Rationale 2: Clients on MAOIs should refrain from caffeine intake, so this statement is appropriate.
Rationale 3: Clients must strictly avoid foods containing tyramine. Cheese and yeast, common ingredients in pizza, contain tyramine and must be avoided.
Rationale 4: MAOIs can cause orthostatic hypotension, so it is necessary to rise slowly from sitting or lying.
Global Rationale: Clients must strictly avoid foods containing tyramine. Cheese and yeast, common ingredients in pizza, contain tyramine and must be avoided. MAOIs potentiate the effects of insulin and other diabetic drugs, so blood sugars will need to be monitored more closely until regulation is verified. Clients on MAOIs should refrain from caffeine intake, so this statement is appropriate. MAOIs can cause orthostatic hypotension, so it is necessary to rise slowly from sitting or lying.