A nurse in public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?
Orange juice
Grapefruit juice
Milk
Carbonated beverage
The Correct Answer is B
A) Orange juice:
Orange juice is generally safe to consume with most medications and does not pose significant risks like grapefruit juice. It is a good source of vitamin C and typically does not interact with prescription medications in a harmful way. However, some medications, particularly those for high blood pressure or heart conditions, may have specific instructions regarding food interactions.
B) Grapefruit juice:
Grapefruit juice should be avoided by clients taking certain medications, as it can interfere with the metabolism of various drugs. Grapefruit contains compounds that inhibit the action of the enzyme cytochrome P450 3A4, which plays a crucial role in metabolizing many medications. This can lead to higher levels of the drug in the bloodstream, increasing the risk of adverse effects or toxicity. Medications commonly affected include certain statins, calcium channel blockers, and immunosuppressants, among others.
C) Milk:
Milk is generally safe to consume with most medications, though it can interfere with the absorption of certain drugs, such as tetracycline antibiotics or some bisphosphonates (used for osteoporosis). However, milk is not as commonly problematic as grapefruit juice and is not a major concern for most prescription medications.
D) Carbonated beverage:
Carbonated beverages, such as soda, do not typically interact with most medications in a way that would cause harm. However, some carbonated drinks can cause gastrointestinal discomfort, especially when taken with certain medications that affect the stomach or intestines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Given:
Total daily dose of clonazepam: 1.5 mg
Frequency: Every 8 hours (3 doses per day)
Tablet strength: 0.5 mg
Step 1: Calculate the dose per administration:
Dose per administration = Total daily dose / Number of doses per day
Dose per administration = 1.5 mg / 3 doses
Dose per administration = 0.5 mg
Step 2: Determine the number of tablets per dose:
Number of tablets per dose = Dose per administration / Tablet strength
Number of tablets per dose = 0.5 mg / 0.5 mg/tablet
Number of tablets per dose = 1 tablet
Correct Answer is D
Explanation
A) Teach the use of an incentive spirometer to a postoperative client:
Teaching a patient how to use an incentive spirometer involves assessment, education, and clinical judgment. This task requires the nurse's expertise to ensure that the patient understands how to use the device correctly and to assess for any potential complications, such as inadequate lung expansion.
B) Irrigate and perform a dressing change for a client who has a pressure injury wound:
Irrigating and changing the dressing of a pressure injury involves clinical judgment, the need for sterile technique, and the assessment of the wound. These tasks should be performed by a registered nurse (RN), who can assess the condition of the wound, evaluate for signs of infection, and make decisions regarding further care.
C) Administer oral PRN pain medication to a client who has arthritis:
Administering PRN pain medication requires assessment of the patient's pain level, consideration of the medication’s effects, and clinical judgment regarding the appropriateness of the medication. This is a nursing responsibility because it involves both medication management and the evaluation of therapeutic effects.
D) Obtain a daily weight on a client who has heart failure:
Obtaining a daily weight is a task that can be safely delegated to an assistive personnel (AP). Weight is an important measurement for monitoring fluid status, especially in clients with heart failure. The AP can accurately weigh the client, ensuring that the same scale and conditions (such as time of day, after the patient has voided) are followed each time.
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