A client ordered grapefruit juice for breakfast. The nurse should review the client's medication record for medications metabolized by the:

Gall bladder

Liver

Kidney

Small bowel

Answer and Explanation

The Correct Answer is B

B. Liver: Grapefruit juice inhibits CYP3A4 enzymes in the liver, which metabolize many drugs (e.g., statins, calcium channel blockers). This inhibition can lead to increased drug levels and toxicity.

A. Gall bladder – The gall bladder stores bile but does not metabolize drugs.

C. Kidney – The kidneys excrete drugs, but grapefruit juice does not significantly impact renal metabolism.

D. Small bowel – Some drug metabolism occurs in the intestines, but grapefruit juice primarily affects liver enzymes.

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Correct Answer is B

Explanation

A. Baked chicken: Safe if properly cooked, as heat kills bacteria.

B. Fresh fruit basket: A WBC count of 2,200/mm³ indicates neutropenia, increasing the risk of infections. Fresh fruits (unless thoroughly washed or peeled) may contain bacteria or fungi, posing an infection risk.

C. A factory-sealed box of chocolates: Sealed items reduce the risk of contamination.

D. Bagels: Processed and baked, so unlikely to carry harmful bacteria.

A. Tachypnea and hypotension B. Tachypnea and hypertension C. Bradypnea and hypertension D. Bradypnea and hypotension

Correct Answer is D

Explanation

A. Tachypnea and hypotension: Tachypnea means fast breathing, but the client has slow breathing.

B. Tachypnea and hypertension: Tachypnea (fast breathing) and hypertension (high blood pressure) do not match the client’s symptoms.

C. Bradypnea and hypertension: Bradypnea (slow breathing) is correct, but hypertension (high BP) is incorrect because the client has low BP (hypotension).

D. Bradypnea and hypotension: Bradypnea means slow breathing, and hypotension means low blood pressure, both of which match the symptoms of a drug overdose (e.g., opioid overdose).

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A client ordered grapefruit juice for breakfast. The nurse should review the client's medication record for medications metabolized by the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200/mm2. Which of the following food items brought by the family should the nurse prohibit from being given to the client?

Correct Answer is B

Explanation

The nurse is collecting data for a client suspected of a drug overdose and notes the clients has slow breathing and decreased blood pressure. The nurse correctly documents these findings as:

Correct Answer is D

Explanation

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