A client ordered grapefruit juice for breakfast. The nurse should review the client's medication record for medications metabolized by the:
Gall bladder
Liver
Kidney
Small bowel
The Correct Answer is B
B. Liver: Grapefruit juice inhibits CYP3A4 enzymes in the liver, which metabolize many drugs (e.g., statins, calcium channel blockers). This inhibition can lead to increased drug levels and toxicity.
A. Gall bladder – The gall bladder stores bile but does not metabolize drugs.
C. Kidney – The kidneys excrete drugs, but grapefruit juice does not significantly impact renal metabolism.
D. Small bowel – Some drug metabolism occurs in the intestines, but grapefruit juice primarily affects liver enzymes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["90"]
Explanation
Formula: 1 kg = 2.2 lbs
- 198 ÷ 2.2 = 90 kg (rounded to nearest whole number).
Correct answer: 90
Correct Answer is A
Explanation
A. 1500-8000: Normal absolute neutrophil count (ANC) is 1,500 to 8,000 cells/mm³. This range indicates a normal immune response.
B. 0-100: Extremely low and indicative of severe neutropenia.
C. 1000-4800: Lower end of normal but does not cover the full normal range.
D. 6-500: Much lower than normal, indicating severe neutropenia.
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