The nurse is caring for a patient with schizophrenia spectrum disorder who is taking olanzapine (Zyprexa). The nurse knows the patient requires education related to avoiding which drugs and/or foods?
1. Phenytoin
2. Grapefruit juice
3. Dexamethasone
4. Garlic supplements
Answer: 1
Explanation: Nursing considerations for patients on olanzapine (Zyprexa) include teaching the patient to avoid drugs and foods that may increase/decrease the levels of the drug. Contraindicated items include phenytoin (Dilantin), St. John's wort, cruciferous vegetables, and smoking. Grapefruit, dexamethasone, and garlic supplements do not affect olanzapine (Zyprexa).
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