A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?

Check the client’s medical record for medication and food interactions.

Consult a drug reference guide for possible interactions.

Ask another nurse if they are aware of potential interactions.

Have the client take the medication on an empty stomach to avoid interactions.

Answer and Explanation

The Correct Answer is B

A. Check the client’s medical record for medication and food interactions is important, but it may not provide comprehensive information about all potential interactions.
B. Consult a drug reference guide for possible interactions is the best action. Drug reference guides provide detailed and up-to-date information about potential food and medication interactions, ensuring safe administration.
C. Ask another nurse if they are aware of potential interactions can be helpful, but it should not be the primary source of information. It is better to rely on authoritative drug reference guides.
D. Have the client take the medication on an empty stomach to avoid interactions is not always appropriate. Some medications need to be taken with food to enhance absorption or reduce gastrointestinal side effects.

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Correct Answer is A

Explanation

A. “Exercise caution when changing positions.” This statement is correct because captopril, an ACE inhibitor, can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. Patients should be advised to rise slowly from sitting or lying positions to prevent dizziness and falls.
B. “Increase the amount of sodium in your diet.” This statement is incorrect because increasing sodium intake can counteract the blood pressure-lowering effects of captopril. Patients are usually advised to maintain a low-sodium diet to help manage their blood pressure effectively.
C. “Take a daily potassium supplement.” This statement is incorrect because captopril can increase potassium levels in the blood, potentially leading to hyperkalemia. Patients should be advised to avoid potassium supplements and potassium-rich foods unless directed by their healthcare provider.
D. “Monitor your pulse rate before taking medication.” This statement is incorrect because monitoring pulse rate is not typically necessary for patients taking captopril. The primary concern with captopril is blood pressure, not heart rate.

A. Vomiting 30 mL of fluid B. Blood pressure 90/60 mm Hg C. Respirations deep at a rate of 10/min D. Urinary output of 20 mL within 1 hr

Correct Answer is C

Explanation

A. Vomiting 30 mL of fluid. This finding is not the priority because while vomiting can be a side effect of morphine, it is not immediately life-threatening.
B. Blood pressure 90/60 mm Hg. This finding is concerning but not the priority. Morphine can cause hypotension, but the primary concern with morphine administration is respiratory depression.
C. Respirations deep at a rate of 10/min. This finding is the priority because morphine can cause respiratory depression, which can be life-threatening. Monitoring and addressing respiratory status is critical when administering opioids.
D. Urinary output of 20 mL within 1 hr. This finding is concerning but not the priority. Low urinary output can indicate dehydration or renal issues, but respiratory depression is the most immediate concern with morphine administration.

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A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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