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

Answer and Explanation

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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Most allergic responses include hives or a rash.": Allergic reactions often present with hives (urticaria), rash, itching, and sometimes anaphylaxis. Severe reactions can cause airway swelling, difficulty breathing, and hypotension.

B. "Common allergic reactions may include fever and diarrhea." Fever and diarrhea are more typical of infections, not allergic reactions.

C. "You might feel cold and sweaty if you are having an allergic reaction." Cold, clammy skin may indicate shock, but it is not specific to allergies.

D. "Nausea and vomiting usually mean you are allergic to the medication." GI symptoms may indicate intolerance but not necessarily an allergy.

A. Neuroleptic malignant syndrome B. Teratogenicity C. Parkinson-like syndrome D. Anticholinergic effects

Correct Answer is D

Explanation

A. Neuroleptic malignant syndrome: Causes fever, muscle rigidity, autonomic instability, and altered mental status-not dry mouth or blurry vision.

B. Teratogenicity: Refers to birth defects from medications taken during pregnancy.

C. Parkinson-like syndrome: Involves tremors, muscle rigidity, and bradykinesia-not dry mouth or blurry vision.

D. Anticholinergic effects: Symptoms of dry mouth, blurred vision, and urinary retention are classic signs of anticholinergic side effects caused by medications like antihistamines, tricyclic antidepressants, and some antipsychotics.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client ordered grapefruit juice for breakfast. The nurse should review the client's medication record for medications metabolized by the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing discharge instructions for a client starting a new medication. The client asks the nurse "how would I know if I to this medication The best response by the nurse is

Correct Answer is A

Explanation

A client reports a dry mouth, blurry vision and a feeling of not being able to fully empty their bladder. The nurse suspects the client is having which type of adverse reaction?

Correct Answer is D

Explanation

A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200/mm2. Which of the following food items brought by the family should the nurse prohibit from being given to the client?

In what syringe should a 6 25 ml of a drug solution be measured?

A nurse is reviewing a client’s laboratory results. Which of the following findings should the nurse be concerned about?

A health care provider has checked the electronic prescription box labeled "DAW". This was checked to ensure the client receives the

A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose for this test?" Which of the following responses should the nurse give?

A nurse is caring for a client who routinely drinks alcohol. Which of the following information should the nurse provide the client about alcohol consumption?

A client receives the wrong medication in error. The nurse who made the medication error should do which of the following first?

A nurse is caring for a client who is receiving an IV medication and has a prescription for peak and trough blood levels with the next dose scheduled for 1800. The nurse should expect the lab to draw blood samples at which of the following times?