Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who is to start taking cyclosporine following a kidney transplant. The nurse should instruct the client that which of the following foods can have an adverse interaction with this medication?
A. Grapefruit juke
B. Pepperoni
C. Smoked salmon
D. Orange juice
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom Pharmacology Proctored Exam 2. Take the full exam now
Full Explanation
Cyclosporine is an immunosuppressant medication that is often used following organ transplant to prevent rejection. Grapefruit juice can increase the absorption of cyclosporine, leading to an increased risk of side effects and toxicity. Therefore, clients taking cyclosporine should be advised to avoid grapefruit and grapefruit juice while taking this medication. Pepperoni and smoked salmon do not have any known interactions with cyclosporine. Orange juice may also interact with cyclosporine, but not to the same extent as grapefruit juice. It is generally recommended that clients taking cyclosporine avoid drinking large amounts of orange juice and to inform their healthcare provider if they experience any adverse effects.
Similar Questions
A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
A. Use lotion and moisturizer before applying a new patch to either area.
B. Remove the old patch and apply a new one in the same location.
C. Press the patch securely in place on my forearm.
D. Clean and dry the area before applying the patch.
When using a transdermal patch, it is important to clean and dry the skin before applying the patch 1. This helps to ensure that the patch sticks properly to the skin. The nurse should identify this statement as an indication that the client understands the teaching about using transdermal patches at home.
Full Explanation
When using a transdermal patch, it is important to clean and dry the skin before applying the patch 1. This helps to ensure that the patch sticks properly to the skin. The nurse should identify this statement as an indication that the client understands the teaching about using transdermal patches at home.
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply.)
A. Stopping the medication when the child feels beter.
Stopping the medication when the child feels better is incorrect. It is important to complete the full course of antibiotics to ensure the infection is fully treated and to prevent antibiotic resistance.
B. The adverse effects of the medication.
The adverse effects of the medication should be included in the discharge instructions. Parents need to be aware of potential side effects so they can monitor their child and seek medical attention if necessary.
C. Writen information about the medication.
Written information about the medication is essential. This provides parents with a reference to review the medication’s purpose, dosage, and administration instructions.
D. Using a kitdchen spoon to administer the medication.
Using a kitchen spoon to administer the medication is incorrect. Kitchen spoons are not accurate for measuring medication doses. A proper measuring device, such as an oral syringe or medicine cup, should be used.
E. The reason why the child is taking the medication.
The reason why the child is taking the medication should be included in the discharge instructions. Understanding the purpose of the medication helps ensure adherence to the prescribed treatment plan.
Full Explanation
The correct answer is choice b. The adverse effects of the medication., c. Written information about the medication., and e. The reason why the child is taking the medication.
Choice A rationale:
Stopping the medication when the child feels better is incorrect. It is important to complete the full course of antibiotics to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice B rationale:
The adverse effects of the medication should be included in the discharge instructions. Parents need to be aware of potential side effects so they can monitor their child and seek medical attention if necessary.
Choice C rationale:
Written information about the medication is essential. This provides parents with a reference to review the medication’s purpose, dosage, and administration instructions.
Choice D rationale:
Using a kitchen spoon to administer the medication is incorrect. Kitchen spoons are not accurate for measuring medication doses. A proper measuring device, such as an oral syringe or medicine cup, should be used.
Choice E rationale:
The reason why the child is taking the medication should be included in the discharge instructions. Understanding the purpose of the medication helps ensure adherence to the prescribed treatment plan.
Which symptoms will be most important for the nurse to assess for early signs of respiratory distress in the patient who has been given a neuromuscular-blocking agent?
A. Dyspnea, increased respiratory rate, and cyanosis.
Dyspnea (difficulty breathing), an increased respiratory rate, and cyanosis (bluish discolouration of the skin and mucous membranes due to lack of oxygen) are early signs of respiratory distress that the nurse should assess for in a patient who has been given a neuromuscular-blocking agent. These medications can cause respiratory depression and compromise the patient’s ability to breathe effectively.
B. Restlessness, anxiety, and lethargy.
C. Nasal flaring and retraction of intercostal muscles.
D. Pallor, stridor, and diaphoresis.
Full Explanation
Dyspnea (difficulty breathing), an increased respiratory rate, and cyanosis (bluish discolouration of the skin and mucous membranes due to lack of oxygen) are early signs of respiratory distress that the nurse should assess for in a patient who has been given a neuromuscular-blocking agent. These medications can cause respiratory depression and compromise the patient’s ability to breathe effectively.
