The nurse is providing multiple medications to a patient whose spouse brings him grapefruit juice every morning. The nurse should 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
ANS: 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 contraindicated with aminoglycosides, beta blockers, or penicillins.
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The most accurate pulse rate is obtained at which pulse site?
1. Radial 2. Apical 3. Brachial 4. Carotid
Which of the following descriptions of symptoms would alert the nurse to a diagnosis of premenstrual syndrome?
A) Symptoms are present for 5 days before menstruation begins, symptoms end within 2 days after menstrual cycle starts B) Symptoms are present for 5 days before menstruation begins, symptoms are present for at least three consecutive menstrual cycles C) Symptoms are present for 2 days before menstruation begins, symptoms are present for at least six consecutive menstrual cycles D) Symptoms are present for 2 days before menstruation begins, symptoms end within 4 days after menstrual cycle starts
A patient's electrocardiogram reveals occasional premature ventricular contractions (PVCs). The nurse manager evaluates that the newly licensed nurse understands the implications of this finding when the nurse makes which statement?
1. "PVCs are insignificant in people with no history of heart disease.". 2. "PVCs typically have no pattern.". 3. "The frequency of PVCs is not associated with specific events.". 4. "The incidence of PVCs has no relevance to the patient having had a myocardial infarction.".
The nurse is performing preoperative thyroidectomy instruction for a patient with Graves' disease. The patient begins to cry and says, "I am so nervous and can't listen to you. Just get out!" What should the nurse do next?
a. Give the patient written preoperative in-structions. b. Inform the charge nurse or surgeon of the patient's behavior. c. Remind the patient the preoperative in-formation is important. d. Ask the family member to explain the preoperative instructions.