The nurse is preparing to discharge a client with a prescription for tranylcypromine (Parnate). Which statement indicates that the client needs further teaching? A. "I need to avoid eating bananas." B. "I should be less depressed in two to three weeks." C. "I can continue to use St. John's wort." D. "I need to avoid some sandwich meats."

Short Answer

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A. "I need to avoid eating bananas." B. "I should be less depressed in two to three weeks." C. "I can continue to use St. John's wort." D. "I need to avoid some sandwich meats." Answer: C. "I can continue to use St. John's wort."

Step by step solution

01

Analyze Statement A

Statement A: "I need to avoid eating bananas." - This statement is correct. Tranylcypromine is a monoamine oxidase inhibitor (MAOI), which means that the client should avoid tyramine-rich foods like bananas. The consumption of such foods could cause hypertensive crisis. No further teaching is needed for this statement.
02

Analyze Statement B

Statement B: "I should be less depressed in two to three weeks." - This statement is correct. Tranylcypromine, as an antidepressant, typically takes about 2-3 weeks to show noticeable effects on a person's mood. No further teaching is needed for this statement.
03

Analyze Statement C

Statement C: "I can continue to use St. John's wort." - This statement is incorrect. St. John's wort is an herbal supplement that can interact with tranylcypromine, increasing the risk of potentially dangerous side effects like serotonin syndrome. The client needs further teaching regarding the potential risks of combining these two substances.
04

Analyze Statement D

Statement D: "I need to avoid some sandwich meats." - This statement is correct. As mentioned before, tranylcypromine is a monoamine oxidase inhibitor (MAOI), which means that the client should avoid tyramine-rich foods like certain sandwich meats, such as salami or pepperoni. No further teaching is needed for this statement.
05

Conclusion

Based on the analysis, Statement C ("I can continue to use St. John's wort.") is the one that indicates the client needs further teaching.

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