The nurse has completed medication education for a patient prior to the patient receiving phenelzine (Nardil). The nurse evaluates the education as effective when the patient makes which statement(s)?
1. "I am really going to miss my morning coffee and sweet roll."
2. "I'll have to give up my beer at the football games."
3. "I can't eat fried chicken and gravy."
4. "I am not supposed to have processed meats or cheese."
5. "I really shouldn't eat at a restaurant; too many foods are on my restricted list."
Correct Answer: 2,4
Rationale: Beer and processed meats and cheese are high in tyramine. Combining tyramine-rich foods with a monoamine oxidase inhibitor can result in a hypertensive crisis. Fried chicken and gravy are not high in tyramine and are considered safe. There are many foods that are safe to eat; the patient can safely eat at a restaurant. Coffee and a sweet roll are not high in tyramine and are considered safe.
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