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?

Grapefruit juke

Pepperoni

Smoked salmon

Orange juice

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is A

Explanation

Inﬂuenza vaccine production involves growing the virus in eggs. Therefore, the vaccine may contain trace amounts of egg proteins. Some individuals may be allergic to egg proteins and may experience an allergic reaction after receiving the vaccine. For this reason, healthcare providers should always ask their patients about egg allergies before administering the inﬂuenza vaccine.

Yeast, gelatin, and shellfish are not typically present in the seasonal inactive inﬂuenza vaccine, so allergy to these substances is not a concern when administering the vaccine. However, if a person has a known allergy to any of the ingredients in the vaccine, they should inform their healthcare provider before receiving it.

A. Respiratory assessment for patent airway. B. Skin assessment for rash C. Blood pressure assessment for orthostatic hypotension D. Assessment far ﬂuid volume overload

Correct Answer is A

Explanation

Neuromuscular-blocking agents paralyze the muscles, including the respiratory muscles. Therefore, it is crucial to ensure that the patient maintains a patent airway and is able to breathe eﬀectively. The nurse should monitor the patient's respiratory rate, depth, and eﬀort, as well as assess for signs of airway obstruction, such as stridor or wheezing.

Skin assessment for rash (option b), blood pressure assessment for orthostatic hypotension (option c), and assessment for ﬂuid volume overload (option d) may also be important assessments for the nurse to obtain, but they are not the most critical assessments when a patient is being treated with a neuromuscular-blocking agent.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse In a community health clinic is administering seasonal inactive inﬂuenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following:

Correct Answer is A

Explanation

Which assessment Is most important for the nurse to obtain when a patient is being treated with a neuromuscular-blocking agent?

Correct Answer is A

Explanation

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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?

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