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?

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

Consult a drug reference guide for possible interactions.

Ask another nurse if they are aware of potential interactions.

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

Answer and Explanation

The Correct Answer is B

A) Have the client take the medication on an empty stomach to avoid interactions:
This action may not be appropriate as taking medications on an empty stomach can sometimes increase the risk of adverse effects or decrease medication effectiveness. The decision to take medication with or without food depends on the specific medication and its instructions. It does not address the broader scope of potential interactions with other medications or foods.

B) Consult a drug reference guide for possible interactions:
This is the most appropriate action. Drug reference guides, such as the Physicians' Desk Reference (PDR) or online databases, provide comprehensive information about medications, including potential interactions with other drugs and foods. Consulting a reliable drug reference guide allows the nurse to make informed decisions about medication administration and identify any potential interactions that may affect the client's safety and treatment outcomes.

C) Ask another nurse if they are aware of potential interactions:
While seeking advice from colleagues can sometimes be helpful, relying solely on another nurse's knowledge may not provide comprehensive information about potential interactions. Additionally, the accuracy and reliability of the information obtained from another nurse may vary. Consulting a drug reference guide or other reliable resources is a more systematic approach to ensuring medication safety.

D) Check the client's medical record for medication and food interactions:
While the client's medical record may contain valuable information about their current medications and medical history, it may not always include detailed information about potential interactions with specific foods. Additionally, relying solely on the medical record may overlook recent changes in the client's medication regimen or newly prescribed medications. Consulting a drug reference guide provides more comprehensive and up-to-date information about potential interactions.

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Correct Answer is A

Explanation

A. “Furosemide and amikacin”: Both furosemide, a loop diuretic, and amikacin, an aminoglycoside antibiotic, have been associated with ototoxicity, which can cause hearing loss. When these two medications are used together, the risk of ototoxicity may increase. Therefore, the nurse should monitor the client for signs of hearing loss.

B. “Propranolol and raloxifene”: Propranolol, a beta-blocker, and raloxifene, a selective estrogen receptor modulator, are not typically associated with hearing loss. Therefore, this combination is less likely to cause a medication interaction leading to hearing loss.

C. “Digoxin and levothyroxine”: Digoxin, a cardiac glycoside, and levothyroxine, a thyroid hormone, are not typically associated with hearing loss. Therefore, this combination is less likely to cause a medication interaction leading to hearing loss.

D. “Losartan and atorvastatin”: Losartan, an angiotensin II receptor blocker, and atorvastatin, a statin, are not typically associated with hearing loss. Therefore, this combination is less likely to cause a medication interaction leading to hearing loss.

A. Bronchospasms B. Glaucoma C. Diverticulitis D. Diarrhea

Correct Answer is B

Explanation

A) Bronchospasms:
Atropine can be used to treat bronchospasms by dilating the bronchi and bronchioles, thereby increasing airflow to the lungs. It is not contraindicated in clients with bronchospasms.

B) Glaucoma:
Correct. Atropine is contraindicated in clients with glaucoma. Atropine can cause pupillary dilation (mydriasis) and increase intraocular pressure, which can worsen the symptoms of glaucoma and potentially lead to vision loss.

C) Diverticulitis:
Atropine is not contraindicated in clients with diverticulitis. Diverticulitis is inflammation or infection of small pouches (diverticula) that can develop in the walls of the intestines. Atropine can be used to treat various gastrointestinal conditions, including irritable bowel syndrome and diverticulitis, by reducing gastrointestinal motility.

D) Diarrhea:
Atropine can be used to treat diarrhea by slowing gastrointestinal motility and reducing gastrointestinal secretions. It is not contraindicated in clients with diarrhea.

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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

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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