The patient with hypertension is receiving nifedipine (Procardia XL). The nurse determines that the patient needs additional medication education when the patient selects which menu for breakfast?

Question

1. Whole-wheat pancakes with syrup, and bacon, oatmeal, and orange juice
2. Eggs, whole-wheat toast with butter, cereal, milk, and grapefruit juice
3. Eggs and sausage, a biscuit with margarine, coffee with cream, and cranberry juice
4. Egg and cheese omelet, tea with sugar and lemon, hash brown potatoes, and prune juice

Answer 1

2
Rationale 1: There is no food–drug interaction with calcium channel blockers and whole-wheat pancakes with syrup, and bacon, oatmeal, and orange juice.
Rationale 2: Grapefruit juice in combination with a sustained-release calcium channel blocker could result in rapid toxic overdose, which is a medical emergency.
Rationale 3: There is no food–drug interaction with calcium channel blockers and eggs, sausage, a biscuit with margarine, and cranberry juice.
Rationale 4: There is no food–drug interaction with calcium channel blockers and egg and cheese omelet, tea with sugar and lemon, hash brown potatoes, and prune juice.
Global Rationale: Grapefruit juice in combination with a sustained-release calcium channel blocker could result in rapid toxic overdose, which is a medical emergency. There is no food–drug interaction with calcium channel blockers and whole-wheat pancakes with syrup, and bacon, oatmeal, and orange juice. There is no food–drug interaction with calcium channel blockers and eggs, sausage, a biscuit with margarine, and cranberry juice. There is no food–drug interaction with calcium channel blockers and egg and cheese omelet, tea with sugar and lemon, hash brown potatoes, and prune juice.