Which food, drink, or herbal supplement does the nurse warn a patient who is prescribed gemfibrozil (Lopid) to avoid?
a. Caffeinated beverages
b. Grapefruit juice
c. St. John's wort
d. Dairy products
B
The metabolism of gemfibrozil is affected by grapefruit and grapefruit juice to the extent that the drug's activity is reduced. If possible, patients should avoid grapefruit juice completely, or at least, patients should not take gemfibrozil with grapefruit juice.
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An older patient with chronic renal failure is exhibiting manifestations of anemia. Why is this occurring in the patient?
1. The result of renal dialysis 2. Loss of the kidney hormone erythropoietin 3. Loss of appetite related to elevated blood urea nitrogen (BUN) and creatinine levels 4. Loss of blood through the urine because the failing kidney does not function properly
The 19-year-old pregnant woman begins a job to "save money for the baby." What is the most significant developmental task the nurse understands this statement to demonstrate?
1. Striving for gaining autonomy and independence 2. Completed development of a sense of identity 3. Attainment of a sense of achievement 4. Having developed an intimate relationship
A nurse begins the intake assessment of a client diagnosed with bipolar I disorder. The client shouts, "You can't do this to me. Do you know who I am?" Which is the priority nursing action in this situation?
A. To provide self and client with a safe environment B. To redirect the client to the needed assessment information C. To provide high-calorie finger foods to meet nutritional needs D. To reorient the client to person, place, time, and situation
The nurse will not label an evacuated tube before entering the patient's room because
1. The nurse could accidently use the labeled tube for the wrong patient. 2. Tubes should be labeled after they have all been filled and the nurse has left the patient's room, just before being sent to the laboratory. 3. Doing so would be less time efficient, although it would reduce the likelihood of an error. 4. Labeling the tube later ensures that the writing on the label is more legible.