Question

A patient taking an MAOI (Monoamine oxidase inhibitor) anti-depressant is seen in the clinic with facial flushing, a pounding headache and a high blood pressure of 170/96 mmHg. What is the priority question for the nurse ask this patient?

Select one:
a. "Do you have a history of migraine headaches?"
b. "Have you been drinking grapefruit juice?"
c. "Are you going through menopause?"
d. "What foods and drinks have you consumed today?"

Answer 1

The priority question for the nurse to ask this patient is 'What foods and drinks have you consumed today?' Facial flushing, a pounding headache, and high blood pressure can be signs of a hypertensive crisis caused by consuming tyramine while taking an MAOI anti-depressant. By asking about the patient's diet, the nurse can determine if the symptoms are related to tyramine consumption and provide appropriate treatment.

Step-by-step explanation:

The priority question for the nurse to ask this patient is 'What foods and drinks have you consumed today?'

Facial flushing, a pounding headache, and high blood pressure can be signs of a hypertensive crisis, which can occur when a patient taking an MAOI anti-depressant consumes foods or drinks that contain tyramine. Tyramine is found in certain foods and beverages and can cause a sudden increase in blood pressure. By asking about the patient's diet, the nurse can determine if the symptoms are related to tyramine consumption and provide appropriate treatment.