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Answer :
Answer:
3. Steamed fish and potatoes
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Final answer:
The best food choice for a client on phenelzine is Steamed fish and potatoes due to low tyramine content and good nutritional value, especially after significant weight loss.
Explanation:
The best food choice for a client who is currently hospitalized with a relapse of unipolar major depression and on phenelzine, which is a monoamine oxidase inhibitor (MAO inhibitor), is option 3: Steamed fish and potatoes. Phenelzine requires dietary restrictions to avoid foods high in tyramine, as it can lead to dangerously high blood pressure. Foods high in tyramine include aged cheeses, wine, and soy sauce, which makes the Crackers with cheddar cheese not suitable. Hard-boiled eggs and tomatoes are safe to eat, but lack the calorie density the patient might need after significant weight loss. Tortilla chips are often high in salt, which isn't ideal for a patient on MAO inhibitors due to potential increases in blood pressure, and avocados, while healthy, also do not provide the calorie density needed.
Steamed fish and potatoes offer a balanced meal with protein, low-risk of high tyramine content, and carbohydrates that can help in weight gain. This meal choice can also facilitate better compliance with dietary restrictions associated with MAO inhibitor therapy while helping in the recovery from the significant weight loss experienced by the patient.
It is also crucial for patients taking MAO inhibitors to be closely monitored by their healthcare provider due to the potential side effects and the dietary restrictions required. Combining this with psychotherapy and other treatments for depression can provide a comprehensive treatment approach.
