The nurse is caring for a client who is taking simvastatin (Zocor). What should the nurse instruct this client to avoid while taking this medication?

Orange juice

Coenzyme Q10 (CoQ10) supplements

Grapefruit juice

All fruit juices

Answer and Explanation

The Correct Answer is C

A. Orange juice does not interact with simvastatin and does not need to be avoided.

B. Coenzyme Q10 (CoQ10) supplements are sometimes taken by patients on statins to help alleviate the side effects like muscle pain, but they do not need to be avoided.

C. Grapefruit juice should be avoided while taking simvastatin because it contains compounds that interfere with the enzymes that metabolize statins, potentially leading to increased drug levels and greater risk of side effects such as muscle damage.

D. Not all fruit juices interact with simvastatin; the specific concern is with grapefruit juice.

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Correct Answer is D

Explanation

A. Eggs are not typically restricted while taking phenelzine (Nardil).

B. Onions are not typically restricted while taking phenelzine (Nardil).

C. Apples are not typically restricted while taking phenelzine (Nardil).

D. Aged cheeses contain tyramine, which can interact with monoamine oxidase inhibitors like phenelzine (Nardil) and potentially lead to hypertensive crisis.

A. Decrease fluid intake to less than 1500 mL daily B. Notify the provider if experiencing constipation as this may cause lithium toxicity C. Restrict the intake of foods rich in sodium D. Limit aerobic activity in hot weather

Correct Answer is D

Explanation

Explanation:

A. Adequate hydration is important to prevent lithium toxicity; decreasing fluid intake is not recommended.

B. Constipation can slow the excretion of lithium and may increase the risk of toxicity, but it is not the most appropriate preventive measure.

C. Sudden changes in sodium intake can affect lithium levels, so restricting sodium-rich foods without medical advice is not advisable.

D. Clients should be cautious with physical activity in hot weather, as excessive sweating can lead to dehydration, increasing the risk of lithium toxicity.

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The nurse is caring for a client who is taking simvastatin (Zocor). What should the nurse instruct this client to avoid while taking this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is taking phenelzine (Nardil). The nurse teaches her to avoid eating:

Correct Answer is D

Explanation

A nurse is caring for a client who has a new prescription for lithium carbonate. When reinforcing teaching with the client about ways to prevent lithium toxicity, the nurse should advise the client do which of the following?

Correct Answer is D

Explanation

A nurse is reinforcing discharge teaching to a client who has a new prescription for sertraline (Zoloft) for posttraumatic stress disorder. Which of the following statements should the nurse include?

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Because HDL transports cholesterol for destructions and removes it from the body, it is considered “ ” cholesterol.

Which of the following classes of medication decreases heart rate, contractility, and blood pressure, and is used to increase survival rates in post-myocardial infarction patients?

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The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 mEq/L?

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?