Difficulty: Medium
Average Score: 81%
Simulated
A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?
Correct answer
D
Rationale
The correct answer is D: Hypertension. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with tyramine-rich foods like aged cheese, leading to a hypertensive crisis. Tyramine in aged cheese can displace norepinephrine from nerve terminals, causing a sudden increase in blood pressure.
A: Somnolence is a common side effect of phenelzine but is not directly related to the interaction with aged cheese.
B: Diarrhea is not a typical manifestation of the interaction between phenelzine and aged cheese.
C: Bradycardia is not associated with the interaction between phenelzine and aged cheese; it is more commonly seen with other medications or conditions.
E, F, G: No further choices provided.
A: Somnolence is a common side effect of phenelzine but is not directly related to the interaction with aged cheese.
B: Diarrhea is not a typical manifestation of the interaction between phenelzine and aged cheese.
C: Bradycardia is not associated with the interaction between phenelzine and aged cheese; it is more commonly seen with other medications or conditions.
E, F, G: No further choices provided.