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
Explanation
A. Client with partial and deep partial thickness burns on the face and neck with high-pitched respiratory sounds: High-pitched respiratory sounds (stridor) suggest impending airway obstruction, which is life-threatening and requires immediate intervention.
B. Client with facial burns and expectorating sooty secretions in no distress: At risk for inhalation injury but not in immediate respiratory distress.
C. Client with dry, black skin on both hands and a history of diabetes mellitus: Eschar and possible full-thickness burns are serious but not immediately life-threatening compared to airway compromise.
D. Client with moist blisters over the back and who reports pain as 10: Pain is expected and manageable; airway takes priority.
Correct Answer is A
Explanation
A. Hyperkalemia: In AKI, the kidneys cannot excrete potassium efficiently, leading to elevated potassium levels.
B. Hypernatremia: More common in dehydration but not typically associated with prerenal AKI, where sodium may actually be low due to dilution.
C. Hypophosphatemia: Phosphate tends to increase due to impaired excretion in AKI, not decrease.
D. Hypercalcemia: Calcium levels tend to decrease in AKI due to phosphate retention and reduced vitamin D activation.
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