A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary item should the nurse instruct the client to avoid?

Choice A reason: Pan-seared catfish does not contain tyramine, which is the substance clients need to avoid when taking phenelzine, an MAOI (monoamine oxidase inhibitor). This dietary item does not pose a risk for hypertensive crisis.Choice B reason: Beef tips with gravy may contain some tyramine depending on the preparation, but it is generally not considered a high-risk food for clients on MAOIs. The primary concern is foods that are aged, fermented, or overly processed.Choice C reason: Pepperoni pizza contains aged cheese and processed meats, both of which are high in tyramine. Consuming high-tyramine foods while on phenelzine can lead to hypertensive crisis, making it crucial for clients to avoid these foods.Choice D reason: Deep-fried shrimp is not typically high in tyramine, making it a safer choice for clients taking phenelzine. The primary focus is on avoiding foods that contain aged or fermented ingredients.