Cruciferous vegetables may alter drug pharmacokinetics by:

1. Enhancing absorption of weakly acidic drugs
2. Altering CYP 3A4 activity, leading to elevated levels of drugs, such as the statins
3. Inducing CYP 1A2, possibly leading to therapeutic failure of drugs metabolized by CYP 1A2
4. Decreasing first-pass metabolism of drugs


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Nursing

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A healthy term infant is being discharged at 48 hours of age. When should the nurse instruct the mother to follow up with a bilirubin assessment?

A. Within 24 hours B. Within 24-48 hours C. Within 5 days D. In 1 week

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In which of the following age groups do interpersonal losses play a role in disturbances in self-concept?

A) child B) teenager C) adult D) older adult

Nursing

An experienced nurse correctly notes that an important factor in assessing survivors of childhood sexual abuse is to be aware that they often experience long-term symptoms most closely resembling DSM-IV-TR criteria for:

a. Adjustment disorders b. Schizophreniform reaction c. Posttraumatic stress disorder d. Obsessive-compulsive personality disorder

Nursing

When an analgesic is titrated to manage pain, what is the priority goal?

a) Titrate to the smallest dose that provides relief with the fewest side effects. b) Titrate upward until the client is pain free. c) Titrate downward to prevent toxicity. d) Titrate to a dosage that is adequate to meet the client's subjective needs.

Nursing