A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse?

Choice A reason: Bologna is a processed meat that contains tyramine. Clients taking MAOIs must avoid foods high in tyramine because they can precipitate a hypertensive crisis. Processed meats, aged cheeses, and fermented products are particularly dangerous. Choice B reason: Sliced apples are safe for clients taking MAOIs. Fresh fruits do not contain tyramine and do not pose a risk. Choice C reason: Cheese, especially aged varieties, is high in tyramine. This would also require intervention. Since the question asks for the item requiring intervention, both bologna and cheese are problematic, but bologna is the clearest example of a food to avoid. Choice D reason: Whole milk is safe for clients on MAOIs. It does not contain tyramine and does not interact with the medication.