A client is instructed to avoid specific foods while prescribed a specific medication because of the potential for cytochrome P450 3A to be blocked, which will affect metabolism
Which of the following foods should the client be instructed to avoid?
1. Apple juice
2. Prune juice
3. Grape juice
4. Grapefruit juice
4
Grapefruit juice can block P-glycoprotein, and it inactivates cytochrome P450 3A for up to 24 hours. Other foods that can also block these enzymes include red wine, cyclosporine, St. John's wort, and herbal teas. Apple, prune, and grape juice do not block these enzymes.
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Various changes during the aging process demand multiple complex adjustments that require stamina, ability, and flexibility. In which stage of life do individuals experience the greatest number of simultaneous changes?
A) Adolescence B) Young adulthood C) Middle age D) Old age
The nurse giving you a report on a newly admitted profoundly deaf patient says that the patient is confused and difficult to assess because she does not respond to questions appro-priately or sometimes does not respond at all
The oncoming nurse will consider: 1. having a psychiatrist see the patient to determine if the patient has dementia. 2. assessing the patient to determine if her hearing aids are in. 3. reporting to the physician that the patient is "sundowning." 4. assessing medications to check for an overdose.
The nurse is assessing a wound that involves the epidermis and part of the dermis. This is classified as what type of wound?
a. superficial c. partial thickness b. deep superficial d. full thickness
The nurse will plan to use the Z-track method of intramuscular (IM) injections for which situation?
a. The medication is known to be irritating to tissues.
b. The patient is emaciated and has very little muscle mass.
c. The medication must be absorbed quickly into the tissues.
d. The patient is obese and has a deep fat layer below the muscle mass.