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Which item in a sample lunch menu requires intervention by a nurse for a client with a new prescription for a monoamine oxidase inhibitor (MAOI)?

  1. Bologna sandwich

  2. Peanut butter and jelly sandwich

  3. Garden salad

  4. Grilled chicken breast

The correct answer is: Bologna sandwich

Clients taking MAOIs need to avoid foods high in tyramine to prevent a hypertensive crisis. Foods such as bologna, aged cheeses, and processed meats contain high levels of tyramine and can interact dangerously with MAOIs. The other options on the menu do not contain high levels of tyramine and are safe for a client on MAOIs.