NCLEX-PN Practice Q 65

---

Angela has been experiencing tinnitus, vertigo and ear stuffiness caused by Meniere’s disease. The following food items she is discouraged to eat, except:

  

     A. Green tea

     B. Unsalted pretzels

     C. Grapefruit

     D. Smoked fish

    

    

Correct Answer: B. Unsalted pretzels

---

Option B: Meniere’s disease causes fluid build up in the inner ear, a diet rich in sodium can make the symptoms worse since the salt attracts water retention which can increase inner ear fluid pressure, therefore food such as unsalted pretzel which is low in sodium is allowed.

---

Option A: Caffeine is a known stimulant that can exacerbate the patient’s symptoms.

Options C, and D: These food items are rich in tyramine. Tyramine is an amino acid that is known to trigger migraines that can provoke ear pain and vertigo.

---