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    Pharmacology Exam 2 (Dallas University) Proctored Exam

    Teaching for a client receiving an MAOI would include instructions to avoid with food product?

    Explanation & Rationale

    Rationale: A. Shrimp: Shrimp is not high in tyramine and does not pose a risk for clients taking MAOIs. While some seafood may be restricted if spoiled or improperly stored, fresh shrimp does not contribute to hypertensive crises associated with MAOI therapy. B. Gluten products: Gluten-containing foods are not restricted with MAOI use unless the client has a separate condition such as celiac disease. These foods do not contain significant tyramine and are not associated with adverse interactions. C. Aged cheese: Aged cheeses contain high levels of tyramine due to the fermentation process. When combined with MAOIs, tyramine is not properly metabolized, leading to excessive norepinephrine release and risk of severe hypertension or hypertensive crisis. D. Orange juice: Orange juice is low in tyramine and generally safe for clients taking MAOIs. It does not interfere with monoamine oxidase activity or increase the risk of hypertensive complications.

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