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 D

Explanation

When administering ophthalmic drops, the nurse should hold the dropper 2 cm (3/4 inch) above the lower conjunctival sac and instill the prescribed number of drops into the sac. The client should be instructed to look up and away from the dropper while the drops are being instilled.

A. Crushing the medication would release all the medication at once, rather than over time. B. Crushing the medication is a good idea and I can mix it in some soft cream for you. C. Crushing the medication might cause you to have stomach-ache or indigestion. D. Crushing is unsafe as it destroys the ingredients in the medication.

Correct Answer is C

Explanation

Enteric-coated aspirin is designed to release slowly over time to protect the stomach lining from irritation. Crushing the medication would defeat this purpose and could cause stomach irritation or other side eﬀects.

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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 is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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