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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
NPH insulin is an intermediate-acting insulin that typically starts to work within 1 to 2 hours after injection.
The nurse should observe for hypoglycemia caused by the onset of the medication around 3 hours after administration, which would be around 1000.
Choice A is not correct because it is too soon after administration for the onset of the medication.
Choice B is not correct because it is still too soon after administration for the onset of the medication.
Choice C is not correct because it is still too soon after administration for the onset of the medication.
Correct Answer is D
Explanation
Hypoglycemia, or low blood sugar, can cause an irregular or fast heartbeat 12.
Bradycardia refers to a slower-than-normal heart rate, which is the opposite of what can happen during hypoglycemia.
Choice A is not an answer because dry mucous membranes are not a common symptom of hypoglycemia.
Choice B is not an answer because polyuria, or excessive urination, is not a common symptom of hypoglycemia.
Choice C is not an answer because poria is a type of fungus and is not related to hypoglycemia.
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