A nurse is caring for a client who is prescribed cyclosporine following a kidney transplant. The nurse should instruct the client that which of the following foods can increase cyclosporine levels to a toxic level?
Orange juice
Bananas
Grapefruit juice
Smoked salmon
The Correct Answer is C
A. Orange juice: Does not affect cyclosporine metabolism.
B. Bananas: No known interaction with cyclosporine.
C. Grapefruit juice: Inhibits CYP3A4 enzyme in the liver, which increases cyclosporine levels, leading to toxicity.
D. Smoked salmon: May contain sodium but does not interact with cyclosporine metabolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Ensure NPO status: The client is kept NPO before the biopsy to reduce the risk of aspiration if sedation is used.
B. Administer diphenhydramine (Benadryl) prior to procedure: This is not routine for kidney biopsy unless the client has allergies or specific indications.
C. Obtain coagulation studies: Important to assess for bleeding risk because kidney biopsies have a high bleeding potential.
D. Verify informed consent: This is essential before any invasive procedure.
E. Collect a urine specimen prior to procedure: A pre-procedure urine sample is collected for baseline comparison.
Correct Answer is B
Explanation
A. Acute hemolysis: While it is a complication of dialysis, it typically presents with back pain, dark red urine, and hypotension.
B. Disequilibrium syndrome: Caused by rapid removal of urea during dialysis, leading to cerebral edema. Early signs include nausea, headache, restlessness, and confusion.
C. Septic shock: Presents with hypotension, tachycardia, and signs of infection. Not the most likely with nausea and headache alone.
D. Air embolism: Presents with sudden chest pain, dyspnea, and hypotension; not typically with headache and restlessness alone.
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