A nurse is reinforcing teaching with a patient who has hypertension and a new prescription for verapamil.
The nurse should instruct the patient to avoid taking this medication with which of the following foods?
Grapefruit.
Spinach.
Broccoli.
Carrots.
The Correct Answer is A
The nurse should instruct the patient to avoid taking verapamil with grapefruit.
Studies have demonstrated an interaction between verapamil and grapefruit juice, which is likely due to an inhibition of intestinal metabolism resulting in increased oral bioavailability1.
This means that grapefruit can interfere with the enzymes that break down verapamil in your digestive system, potentially leading to dangerous health problems2.
Choices B, C, and D are incorrect because there is no known interaction between verapamil and spinach, broccoli, or carrots.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should administer 2.5 tablets.
To determine the number of tablets needed to administer a dose of 5 mg using 2 mg tablets, you can divide the desired dose (5 mg) by the available tablet strength (2 mg/tablet): 5 mg ÷ 2 mg/tablet = 2.5 tablets.
Choice A is incorrect because administering 2 tablets would only provide a dose of 4 mg (2 tablets x 2 mg/tablet = 4 mg).
Choice C is incorrect because administering 2.6 tablets would provide a dose of 5.2 mg (2.6 tablets x 2 mg/tablet = 5.2 mg).
Choice D is incorrect because administering 3 tablets would provide a dose of 6 mg (3 tablets x 2 mg/tablet = 6 mg).
Correct Answer is A
Explanation
The client’s symptoms of confusion, flushed appearance, and acetone odor on their breath suggest that they may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes that occurs when the body produces high levels of ketones.
Treatment for DKA typically involves administering intravenous fluids and insulin to lower blood sugar levels and suppress ketone production 1.
Regular insulin is a fast-acting insulin that can be given intravenously to quickly lower blood sugar levels 1.
Choice B is incorrect because NPH insulin is an intermediate-acting insulin that takes longer to start working and would not be appropriate for treating DKA.
Choice C is incorrect because lispro insulin is a rapid-acting insulin but it is not typically given intravenously.
Choice D is incorrect because glargine insulin is a long-acting insulin that takes several hours to start working and would not be appropriate for treating DKA.
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