A client with pheochromocytoma asks for a snack and something warm to drink. The appropriate choice to meet nutritional needs would be which of the following?

• A. Crackers with Cheese and Tea
• B. Graham Crackers and Warm Milk
• C. Toast with Peanut Butter and Cocoa
• D. Vanilla Wafers and Coffee with Cream and Sugar

Answer: (B)

Pheochromocytoma drives excess catecholamine release, so the goal is to avoid stimulants and keep meals bland and steady without triggering sympathetic activation. A snack that provides carbohydrates for quick energy without caffeine fits this need well. Graham crackers supply simple carbohydrates, and warm milk adds a bit of protein and calories without stimulant effects. This combination helps meet energy needs while minimizing the risk of provoking hypertension or tachycardia that caffeine-containing drinks or chocolate could cause.

The other options include beverages or ingredients with caffeine or stimulant effects (tea, coffee, cocoa/chocolate), which could worsen adrenergic symptoms.