Chapter 15: Interactions: Food and Nutrients Versus Medications and Supplements

Nutrition And Diet Therapy- 6th Edition by Carroll A. Lutz and Erin E. Mazur

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Chapter 15: Interactions: Food and Nutrients Versus Medications and Supplements

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

  1. For clients taking levodopa, dietary recommendations may include:
  2. Increasing protein intake to 1.2 grams of protein per kilogram of body weight
  3. Taking higher protein foods with the evening meal rather than earlier in the day
  4. Distributing fat content evenly over three meals
  5. All of the above

 

Ans: 2

  Feedback
1. Levodopa is given for Parkinson’s disease. The amino acids in dietary proteins may compete with the drug for transport across the blood–brain barrier. Low protein diets with protein intake shifted to the evening have proved helpful in stabilizing drug effects.
2. Levodopa is given for Parkinson’s disease. The amino acids in dietary proteins may compete with the drug for transport across the blood–brain barrier. Low protein diets with protein intake shifted to the evening have proved helpful in stabilizing drug effects.
3. Levodopa is given for Parkinson’s disease. The amino acids in dietary proteins may compete with the drug for transport across the blood–brain barrier. Low protein diets with protein intake shifted to the evening have proved helpful in stabilizing drug effects. Fat intake is not a concern with Levodopa.
4. Levodopa is given for Parkinson’s disease. The amino acids in dietary proteins may compete with the drug for transport across the blood–brain barrier. Low protein diets with protein intake shifted to the evening have proved helpful in stabilizing drug effects.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies | Cognitive Level: Application

 

 

 

  1. The interaction of tyramine and a monoamine oxidase (MAO) inhibitor can produce:
  2. Decreased blood pressure
  3. Increased blood pressure
  4. Excessive sedation
  5. Hyperactivity

 

Ans: 2

  Feedback
1. When tyramine interacts with a monoamine oxidase inhibitor, hypertension occurs due to the excess epinephrine.
2. When tyramine interacts with a monoamine oxidase inhibitor, hypertension occurs due to the excess epinephrine.
3. Hypertension, not sedation, occurs when tyramine interacts with a monoamine oxidase inhibitor.
4. Hypertension, not hyperactivity, occurs when tyramine interacts with a monoamine oxidase inhibitor.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies | Cognitive Level: Comprehension

 

 

 

  1. Which of the following foods would a nurse instruct a client to avoid on a tyramine-restricted diet?
  2. Mozzarella cheese and pepperoni sausage
  3. Oat and wheat cereals
  4. Sauerkraut and citrus fruits
  5. Coffee and soy sauce

 

Ans: 1

  Feedback
1. Mozzarella cheese and pepperoni sausage contain tyramine and should be avoided.
2. No breads or cereals contain tyramine, so there is no need to avoid them.
3. Although sauerkraut should be avoided, citrus fruits may be eaten.
4. Although soy sauce should be avoided, coffee may be consumed (1–3 cups)

KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies | Cognitive Level: Application

 

 

 

  1. Mr. H is being treated for tuberculosis with isoniazid. Which of the following vitamins may become deficient as a result of therapy?
  2. Ascorbic acid and vitamin D
  3. Niacin and vitamin B6
  4. Riboflavin and thiamin
  5. Folic acid and vitamin B12

 

Ans: 2

  Feedback
1. Isoniazid does not lead to deficiencies in ascorbic acid and vitamin D.
2. Isoniazid is structurally similar to niacin, and the body recognizes it as niacin, reducing its production of the vitamin; the drug also forms a complex that makes Vitamin B6 unavailable.
3. Isoniazid does not lead to deficiencies in riboflavin and thiamin.
4. Isoniazid does not lead to deficiencies in folic acid and vitamin B12.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies | Cognitive Level: Comprehension

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