A nurse is caring for a client who is to start taking cyclosporine following a kidney transplant. The nurse should instruct the client that which of the following foods can have an adverse interaction with this medication?
Grapefruit juke
Pepperoni
Smoked salmon
Orange juice
The Correct Answer is A
Cyclosporine is an immunosuppressant medication that is often used following organ transplant to prevent rejection. Grapefruit juice can increase the absorption of cyclosporine, leading to an increased risk of side effects and toxicity. Therefore, clients taking cyclosporine should be advised to avoid grapefruit and grapefruit juice while taking this medication. Pepperoni and smoked salmon do not have any known interactions with cyclosporine. Orange juice may also interact with cyclosporine, but not to the same extent as grapefruit juice. It is generally recommended that clients taking cyclosporine avoid drinking large amounts of orange juice and to inform their healthcare provider if they experience any adverse effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice b. Constipation.
Choice A rationale:
While headaches can occur with some medications, they are not a common adverse effect of diphenhydramine. Diphenhydramine's typical side effects are more related to its anticholinergic properties.
Choice B rationale:
Diphenhydramine is an antihistamine with anticholinergic effects, which can lead to dry mouth, urinary retention, and constipation as common adverse effects.
Choice C rationale:
Diphenhydramine typically does not cause bradycardia. In some cases, it may cause tachycardia (increased heart rate) rather than a slower heart rate.
Choice D rationale:
Hypertension is not typically associated with diphenhydramine. In fact, it can sometimes cause hypotension (low blood pressure) rather than high blood pressure.
Correct Answer is A
Explanation
Dyspnea (difficulty breathing), an increased respiratory rate, and cyanosis (bluish discolouration of the skin and mucous membranes due to lack of oxygen) are early signs of respiratory distress that the nurse should assess for in a patient who has been given a neuromuscular-blocking agent. These medications can cause respiratory depression and compromise the patient’s ability to breathe effectively.
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