A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety. Which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?

Carbonated beverage

Orange juice

Grapefruit juice

Milk

Answer and Explanation

The Correct Answer is C

Rationale- Grape fruit inhibits the action of intestinal enzymes interfering with absorption and actions of most drugs. It is therefore, important for clients on oral medication to avoid the intake of grape fruit to allow optimal absorption of the drugs.

A, B, D- Have very minimal drug interactions and hence safe to take with most medications

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Correct Answer is B

Explanation

A. Diluting phenytoin with sterile water before injecting is not recommended, as phenytoin is incompatible with most used diluents. Diluting it can lead to precipitation and potentially cause adverse effects such as tissue irritation and phlebitis.
B. Administering the medication over 1 min is recommended. Phenytoin should be administered at a rate of 50mg/min.
C. Following the IV injection with sterile water is unnecessary and not indicated for administering phenytoin.
D.Phenytoin precipitates out of solution when mixed with certain diluents or when administered too quickly. Crystallized phenytoin can cause local irritation, tissue damage, and potentially more serious adverse effects. Therefore, it should not be administered at all.

A. Laboratory analysis of cardiac arrhythmias B. Administration of thiamine C. Monitoring for the presence of esophageal varices D. Placing the client in protective isolation

Correct Answer is B

Explanation

Wernicke- Korsakoff is a neurological disorder that occurs commonly in malnourished alcoholic due to thiamine deficiency. It presents confusion, ataxia, visual disturbances and low blood pressure. It is managed by administration of thiamine to prevent permanent brain damage.
A . although alcohol can cause cardiomyopathy and cardiac arrhythmias, it is not directly related to Wernicke- Korsakoff syndrome
C. chronic alcoholism can lead to liver cirrhosis and esophageal varices but is not directly related to Wernicke-Korsakoff psychosis.
D. isolation is not necessary as Wernicke-Korsakoff psychosis is not a communicable disease.

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A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety. Which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer phenytoin 50 mg IV bolus to a client Who has a seizure disorder. The medication is supplied as a 50 mg/mL vial. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who has Wernicke—Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate?

Correct Answer is B

Explanation

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