When teaching a patient who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?
Dairy products
Licorice
Oatmeal
Grapefruit juice
The Correct Answer is D
Choice A reason: Dairy products do not significantly interact with antilipemic drugs like statins, which are commonly used. They may affect dietary cholesterol but not drug metabolism. Grapefruit juice is a key interaction, making dairy an incorrect focus for teaching about antilipemic therapy drug-food interactions.
Choice B reason: Licorice may affect blood pressure or potassium but is not a primary concern for antilipemic therapy interactions. Grapefruit juice inhibits statin metabolism, increasing drug levels and side effect risks, making licorice an incorrect choice for this teaching focus compared to grapefruit juice.
Choice C reason: Oatmeal, rich in fiber, benefits cholesterol levels but does not interact adversely with antilipemic drugs like statins. Grapefruit juice is the critical interaction due to enzyme inhibition, making oatmeal an incorrect choice, as it lacks significant drug-food interaction with antilipemic therapy.
Choice D reason: Grapefruit juice inhibits the CYP3A4 enzyme, affecting statin metabolism, increasing drug levels, and risking toxicity like myopathy. This is a critical drug-food interaction for antilipemic therapy, making it the correct food to discuss in teaching to ensure safe medication use and avoid adverse effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Increased mobility is beneficial for general health but must be cautious in heart failure to avoid overexertion, which can exacerbate cardiac strain and fluid overload. Dietary and fluid restrictions are more critical to manage volume status, making mobility a secondary focus in discharge teaching for heart failure.
Choice B reason: Dietary and fluid restrictions, particularly low-sodium diets and limited fluid intake, are essential in heart failure to reduce fluid overload, preload, and cardiac workload. This prevents exacerbations like pulmonary edema, making it a priority lifestyle modification to include in discharge teaching for effective heart failure management.
Choice C reason: Cessation of intravenous drug use is relevant for specific populations but not a general heart failure management strategy. It does not directly address fluid overload or cardiac workload, unlike dietary and fluid restrictions, making it an incorrect focus for routine discharge teaching in heart failure.
Choice D reason: Cessation of hormonal supplements is not typically relevant to heart failure management unless specific hormones affect fluid balance or cardiac function. Dietary and fluid restrictions directly address the pathophysiology of fluid overload, making this an incorrect lifestyle modification for routine heart failure discharge teaching.
Correct Answer is C
Explanation
Choice A reason: Decreasing blood flow to extremities worsens peripheral arterial disease, causing ischemia and pain. The goal is to improve arterial flow, making this incorrect, as it opposes the therapeutic aim of enhancing perfusion to reduce symptoms and improve limb function.
Choice B reason: Decreasing treatment plan compliance undermines peripheral arterial disease management, which requires adherence to exercise and medications to improve circulation. This is incorrect, as the goal is to enhance compliance to achieve better outcomes, not reduce it, for effective disease control.
Choice C reason: Improving blood flow to arteries through exercise, medications, or surgery, and increasing functional status by reducing claudication, are primary goals of peripheral arterial disease treatment. This enhances tissue perfusion and mobility, making it the correct choice for the treatment objectives.
Choice D reason: Increasing motor and non-motor complications is contrary to peripheral arterial disease treatment, which aims to reduce symptoms like pain and improve function. Complications worsen outcomes, making this incorrect, as the focus is on improving circulation and functional status, not causing harm.
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