The nurse is working on a discharge teaching plan for a client prescribed phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI drug). The nurse knows teaching was successful if the client states

  1. “I will not be able to have wine and aged cheese anymore.”
  2. “I should avoid all dairy products from now on.”
  3. “Taking this medication with vitamin K–containing foods is dangerous.”
  4. “I will need to decrease my dietary fiber now.”
Number 1 is correct.
Rationale: Clients who take MAOI drugs should avoid foods with tyramine, which could trigger a hypertensive crisis. Tyramine can be found in aged cheeses, fermented meats, alcoholic beverages, pickled foods, chocolate, fava beans, and sauerkraut. These clients may still eat some dairy products. Foods with vitamin K might be avoided by clients prescribed blood thinners. Dietary fiber is important for healthy digestion and including it in the diet should be encouraged.