A nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over 24 hr using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)_mL/hr

A) "Take the medication with a full glass of water":
This is the correct answer. Docusate is a stool softener used to treat constipation by promoting the incorporation of water into the stool, making it softer and easier to pass. Taking docusate with a full glass of water helps facilitate its action by ensuring hydration and aiding in the softening of stool.

B) "Take this medication on an empty stomach":
Taking docusate on an empty stomach is not necessary. It can be taken with or without food. The primary consideration is to take it with an adequate amount of water to facilitate its stool-softening effect.

C) "Do not take this medication before bedtime":
There is no specific contraindication to taking docusate before bedtime. The timing of administration can vary based on individual preferences and bowel habits. Some individuals may prefer to take it before bedtime to promote a bowel movement in the morning, while others may take it at different times of the day.

D) "Expect abdominal pain with this medication":
Abdominal pain is an uncommon side effect of docusate. While it may occur in some individuals, it is not a common or expected reaction to the medication. Most people tolerate docusate well, but gastrointestinal side effects such as mild abdominal cramping, nausea, or diarrhea may occur in some cases.

A) Milk:
Milk is not known to interact significantly with verapamil. Therefore, there's no need for the client to avoid consuming milk while taking this medication.

B) Orange juice:
Orange juice does not typically interact with verapamil. However, calcium-containing foods and beverages, including orange juice, may reduce the absorption of verapamil when taken simultaneously. While the interaction is not severe, it's advisable for clients to separate the administration of verapamil from calcium-rich foods and beverages to optimize absorption.

C) Grapefruit juice:
This is the correct answer. Grapefruit juice contains compounds that inhibit the activity of cytochrome P450 enzymes, particularly CYP3A4, which are involved in the metabolism of many medications, including verapamil. Consuming grapefruit juice while taking verapamil can lead to elevated blood levels of the medication, increasing the risk of side effects and toxicity. Therefore, clients should avoid grapefruit juice while on verapamil therapy.

D) Coffee:
Coffee does not typically interact with verapamil. However, caffeine-containing beverages like coffee may exacerbate certain side effects of verapamil, such as dizziness or palpitations, due to their stimulant effects. Clients may be advised to limit caffeine intake or consume coffee in moderation while taking verapamil.