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
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.
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