Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is modifying the diet of a client who has Parkinson's disease and is prescribed selegiline, an MAOI. Which of the following foods should the nurse eliminate?
A. Cherries
Cherries are not a food that should be eliminated from the diet of a client who is takingselegiline, an MAOI. Cherries do not contain tyramine, which is an amino acid that can cause hypertensive crisis when combined with MAOIs. Therefore, this choice is incorrect.
B. Chicken
Chicken is not a food that should be eliminated from the diet of a client who is takingselegiline, an MAOI. Chicken does not contain tyramine, unless it is aged, smoked, or fermented. Therefore, this choice is incorrect.
C. Cheddar cheese
Cheddar cheese is a food that should be eliminated from the diet of a client who is taking selegiline, an MAOI. Cheddar cheese contains high levels of tyramine, especially if it is aged or processed. Tyramine can interact with MAOIs and cause severe hypertension, headache, nausea, and palpitations. Therefore, this choice is correct.
D. Fresh fish
Fresh fish is not a food that should be eliminated from the diet of a client who is taking selegiline, an MAOI. Fresh fish does not contain tyramine, unless it is pickled, smoked, or fermented. Therefore, this choice is incorrect.
This question is an excerpt from Nurse Dive's nursing test bank - Ati med surg adult care 2 proctored exam. Take the full exam now
Similar Questions
Match the characteristics with the type of stroke. Each characteristic is only used one time.
- Hypertension primary Cause
- Symptoms progress over time
- Rapid progression of symptoms
- Most common type
- Symptoms resolve
- Associated with high risk of stroke
- Atrial fibrillation primary cause
Type of stroke
a.Transient Ischemic Attack b.Hemorrhagic Stroke c.Ischemic Stroke
A. Hypertension primary cause b.,Hemorrhagic Stroke
B. Rapid progression of symptoms
C. Symptoms resolve
D. Associated with high risk of stroke
E. Atrial fibrillation primary cause
A client reports visual disturbances followed by debilitating pain, nausea, and light sensitivity. When providing education for this client, what can the nurse include in teaching?
Select all that apply (Select All that Apply.)
A. Identity and avoid triggers
Correct. Identifying and avoiding triggers can help prevent or reduce the frequency of migraine attacks.
B. Get adequate sleep
Correct. Getting adequate sleep can help maintain a regular circadian rhythm and reduce stress, which are factors that can trigger migraines.
C. Anticipate staying in bed up to 10 days
Incorrect. Staying in bed up to 10 days is not recommended for migraine management, as it can worsen the symptoms and lead to rebound headaches.
D. Identify ways to reduce stress
Correct. Identifying ways to reduce stress can help lower the risk of migraine attacks, as stress is a common trigger for many people.
E. NSAIDs are ineffective
You admit a client on day 1. After several days off, you are reassigned the same client. Click the tabs to review vital signs and nurse notes to review the client's progression.
Vital Signs Assessment Day 1:
Temperature 37.5° C (99.5° F) Blood pressure 198/96 mm Hg Heart rate 112/min
Respiratory rate 22/min
Oxygen saturation 96% on room air Day 7:
Temperature 38° C (100,4° F) Blood pressure 166/70 mm Hg Heart rate 68/min
Respiratory rate 20/min
Oxygen saturation 97% on room air
Question: For each client finding, click to specify if the finding could indicate Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process. Click the tabs at the top of the page for information about your client.
A. Blood pressure
Blood pressure Stroke and Multiple Sclerosis are correct because both conditions can cause hypertension due to increased intracranial pressure or autonomic dysfunction. Parkinson's Disease is incorrect because it does not affect blood pressure directly.
B. Facial symmetry
Facial symmetry Stroke is correct because it can cause facial droop or paralysis due to damage to the cranial nerves or brainstem. Parkinson's Disease and Multiple Sclerosis areincorrect because they do not cause facial asymmetry, but may cause facial rigidity or masklike expression in Parkinson's Disease or facial numbness or pain in Multiple Sclerosis.
C. Cognitive function
Cognitive function Parkinson's Disease, Stroke and Multiple Sclerosis are correct because all three conditions can impair cognitive function due to degeneration of neurons,ischemia of brain tissue or demyelination of nerve fibers. Cognitive impairment may manifest as memory loss, confusion, dementia, aphasia, apraxia or agnosia.
D. Mobility status
Mobility status Parkinson's Disease, Stroke and Multiple Sclerosis are correct because all three conditions can affect mobility status due to muscle weakness, spasticity, rigidity, tremors, ataxia, hemiplegia or paraplegia. Mobility impairment may affect gait, balance, coordination or posture.
E. Speech
Speech Parkinson's Disease, Stroke and Multiple Sclerosis are correct because all three conditions can affect speech due to dysarthria, dysphonia, dysphagia, aphasia or dysfluency. Speech impairment may affect articulation, volume, tone or fluency.