Exam 15: Interactions: Food and Nutrients Versus Medications and Supplements

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Individuals receiving anticoagulant therapy with warfarin should be instructed to monitor their consumption of foods high in vitamin K because:

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D

Which type of interaction occurs with oral or enteral intake, producing increased or decreased bioavailability of either the drug or nutrient?

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B

Phenytoin and folic acid use the same binding sites in the body. If an increased intake of folic acid inhibits phenytoin therapy to the extent that seizure activity increases, the effect is termed

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B

To decrease the risk of excessive drug availability when felodipine or nicardipine are prescribed, the client may be told not to drink:

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Individuals taking angiotensin-converting enzyme (ACE) inhibitors that decrease blood pressure by increasing sodium and water excretion should be monitored for which of the following possibly related to foods or seasonings consumed?

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Mr. S is a 45-year-old posttrauma client. A motor vehicle accident 6 months ago paralyzed him and killed his wife and daughter. He is now receiving isocarboxazid for depression. Close attention to Mr. A's diet is essential. Which of the following foods will he have to avoid completely?

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Which of the following clients is at greatest risk for a food-drug interaction?

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Which of the following foods would a nurse instruct a client to avoid on a tyramine-restricted diet?

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Which type of drug-nutrient interaction occurs in the delivery device before or during drug administration?

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Mr. M is being treated with the antimanic drug lithium. Which of the following nutrients will he have to monitor faithfully?

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Which of the following food groups is freely permitted on a tyramine-restricted diet?

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After teaching a client who is prescribed alendronate for osteoporosis, the nurse determines that more teaching is needed when the client states which of the following about taking the drug?

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Which class of medications increases the catabolism of the matrix of the bone, inhibits the osteoblasts from building new bone, and prevents the liver from processing vitamin D?

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Clients taking warfarin who have increased intestinal activity, as in a flare of inflammatory bowel disease or diarrhea, should:

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Which of the following would the nurse expect to administer for isoniazid toxicity?

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After teaching a client about the possibility of treatment failure associated with tetracycline, the nurse determines that more teaching is needed when the client states that the drug should not be administered within 1 to 3 hours of which of the following foods?

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Which of the following medications have been shown to be less effective if administered with enteral feedings?

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Which one of the following drugs is least likely to cause food-drug interactions because of the usual way in which it is prescribed?

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Inhibition of the intestinal CYP3A4 enzyme interferes with bioavailability of affected drugs with the result of:

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The interaction of tyramine and a monoamine oxidase (MAO) inhibitor can produce:

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