Practice Question
A nurse is caring for a client on an acute care mental health unit.
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Rationale:
⏺️ Selegiline is a monoamine oxidase inhibitor (MAOI) antidepressant. MAOIs inhibit the breakdown of tyramine, a naturally occurring amino acid found in certain foods.
⏺️ Ingesting tyramine-rich foods (e.g., aged cheeses, smoked meats like the requested smoked turkey, red wine, fermented products) can precipitate a hypertensive crisis because tyramine increases norepinephrine release, causing severe vasoconstriction and hypertension.
⏺️ Symptoms of hypertensive crisis include sudden severe headache, chest pain, tachycardia, and possible intracranial hemorrhage.
⏺️The nurse must provide clear dietary education, emphasizing strict avoidance of tyramine-containing foods and prompt reporting of headache or palpitations.
⏺️ Other listed conditions (tardive dyskinesia, rhabdomyolysis, infection) are not associated with selegiline or MAOIs.
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This question is from RN Mental Health 2023(Summer ~2025) which contains 70 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 0