Ch 15 Review

A client has just been prescribed tetracycline. Which instructions should a nurse give?

Take 2 hours after consuming red meat.

A nurse is caring for a client who is taking niacin for high cholesterol. The client notes that he sometimes takes aspirin to alleviate headaches. How should the nurse respond?

"Do not take aspirin while taking niacin."

A nurse is caring for a female client who is of childbearing age. The client notes that she has struggled with depression in the past, so she takes St. John's wort rather than pharmaceutical antidepressants. What statements should the nurse make? Select all that apply.

-Be sure to use a barrier method of contraception. -Consult your health-care provider before starting anticoagulants. -You are at increased risk for serotonin syndrome. -You should notify your health-care provider if you develop a heart condition.

A nurse is educating a group of highly active student athletes at a local college. Which information should the nurse share with the group? Select all that apply.

-Consuming milk may help you gain lean muscle. -Drink 8 ounces of water 15 minutes before activity.

A nurse is caring for a client who takes ginkgo biloba. Which other questions should the nurse ask to assess the client's assessment and medication use? Select all that apply.

-How long have you used this product? -Do you take medications for any heart conditions? -Do you take any medications for depression? -Do you ever take OTC medications for pain or inflammation?

A nurse is educating a client on the effects of niacin. Which of the following statements by the nurse is true? Select all that apply.

-Niacin should not be taken with aspirin -Niacin decreases the absorption of tetracycline. -Niacin may cause hypotension when taken with certain drugs.

Which of the following contributes to lack of standardization in the potency of herbal supplements? Select all that apply.

-Species of plant used -Part of the plant used -Time of harvest -Storage conditions

A nurse is educating a client who takes a zinc supplement. Which medications should the nurse inform the client to avoid or take separately from this supplement? Select all that apply.

-Tetracycline -Ciprofloxacin

A nurse is caring for a female geriatric client. The client takes medication for type 2 diabetes and arthritis. During assessment, the client notes that she consumes orange juice each morning with breakfast and takes a St. John's wort supplement. Which factors place this client at-risk for food and drug interactions? Select all that apply.

-The client's age -The client's use of St. John's wort supplement -The client's medication regimen

A health-care provider has just ordered that a client should discontinue use of a monoamine oxidase inhibitor (MAOI). Which statements made by a nurse to the client are accurate? Select all that apply.

-You can drink moderate amounts of hot chocolate. -You should avoid avocados.

A nurse is caring for a student who has received a scholarship to play soccer in college. Which information shared by the nurse is accurate? Select all that apply.

-You may benefit from taking sodium bicarbonate. -Certain ergogenic aids may cause unwanted side effects. -Caffeine stimulates muscles to use fat as fuel.

A nurse is teaching a seminar on appropriate uses of nutritional supplements. Which people should the nurse discourage from using ginkgo biloba?

Clients who take aspirin regularly

A client has just been prescribed phenelzine. Which of the following foods should the client avoid?

Figs

A nurse is making follow-up calls on recently discharged clients. Which of the following clients is most at-risk for a food and drug interaction?

Geriatric client who takes blood thinners

Which food can be moderately consumed on a tyramine-restricted diet?

Gouda cheese

A client is receiving anticoagulation therapy with warfarin. What dietary changes should the nurse instruct?

Limited consumption of raw spinach

A nurse is conducting a nutrition assessment of a client. The client reports taking multiple nutritional supplements to maintain good health. The client has not gained or lost weight in the last several years, eats a balanced diet, and only consumes alcohol occasionally. Which factor may cause the nurse to request further nutritional assessment?

Nutritional supplement regimen

A nurse is caring for a client who notes that he takes St. John's wort regularly. Which medication is contraindicated for this client?

Paroxetine

A nurse is teaching a client that interactions between medications and food or nutrients may happen before administration. Which type of reaction does this describe?

Type I

A nurse is counseling a client who is a marathon runner. Which statement made by the nurse is correct?

You should consume 10 to 12 grams of carbohydrates per kilogram of your body weight in the days before your race.