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 A
Explanation
Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours1.
Therefore, it should be injected 15 minutes before a meal2.
Choice B is incorrect because polyuria (frequent urination) is a symptom of high blood sugar levels, not a direct result of insulin lispro injection.
Choice C is incorrect because checking the expiration date should be done before administering any medication, not after.
Choice D is incorrect because insulin lispro should be administered using a clean syringe and proper hygiene practices should be followed to prevent infection.
Correct Answer is D
Explanation
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1.
This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
Choice A is incorrect because it is not recommended to use an old patch with medication residue.
Instead, always remove a previous patch before applying a new one 1.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing.
Instead, it should be worn for 12 to 14 hours and then removed 2.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence.
Instead, it should be applied to an area with little or no hair 1.
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