The nurse is providing multiple medications to a patient whose spouse brings grapefruit juice every morning. The nurse will be concerned about which classes of drugs? (Select all that apply.)
a. Calcium channel blockers
b. Selective serotonin reuptake inhibitors
c. Aminoglycosides
d. Beta blockers
e. Penicillins
A, B
Calcium channel blockers and selective serotonin reuptake inhibitors have been shown to reach increased and/or toxic levels when taken with grapefruit juice. Grapefruit juice is not contraindi-cated with aminoglycosides, beta blockers, or penicillins.
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The nurse is educating her patient about the risk of heart disease from metabolic syndrome. She knows metabolic syndrome is a cluster of the following symptoms: (Select all that apply.)
a. Elevated blood glucose b. High waist circumference c. History of smoking d. Hypertension e. Elevation serum cholesterol
An advantage of convenience sampling is:
a. ease in obtaining subjects. b. increased internal validity and control. c. low risk of sampling bias. d. representativeness of sample is ensured.
A client with renal impairment presents with an acid-base imbalance. Which mechanisms does the nurse recognize may be impaired? Select all that apply.
A) Resorption of bicarbonate from the renal tubule into the blood. B) Secretion of bicarbonate into the urine. C) Resorption of hydrogen from the nephron into the blood. D) Excretion of hydrogen buffered by ammonia. E) Secretion of hydrogen into the urine.
An older client confides feeling a loss of control over life after having a mild stroke. What would be the best action the nurse could take to support this client?
A. Explain to the client that such feelings are normal, but that he or she must have realistic expectations for rehabilitation. B. Encourage the client to perform as many tasks as possible and to participate in decision making. C. Further assess the client's mental status for other signs of denial. D. Obtain an order for physical and occupational therapy.