Exam 18: Food, Nutrient, and Drug Interactions

A client taking a protease inhibitor has a detectable HIV viral load and reports taking St. John's wort to help with feelings of depression. What should the nurse explain about St. John's wort?

A client is prescribed a thiazide diuretic. Which nutrient should be monitored in this client?

The nurse notes that a client is prescribed a medication that inhibits the absorption of some nutrients. Which characteristic pharmokinetics is this medication affecting?

A client is prescribed medication that can interact with nutrients in the kidney. Which alteration in pharmokinetics is this client at risk for developing?

A client is prescribed a fluoroquinolone to be taken for 10 days. What should the nurse instruct the client to avoid while taking this medication?

A client taking lithium has been altering the daily intake of sodium to reduce high blood pressure. What should the nurse realize this client is at risk for developing? (Select all that apply.)

A client who takes metoprolol, furosemide, and terazosin is experiencing a new onset of leg cramps. Which reason should the nurse suspect as causing this client to have this symptom?

A client is experiencing diarrhea after starting a new medication. Which additive in the medication most likely is causing this client's new symptom?

A client takes a corticosteroid for control of a chronic health problem. Which nutrient is most affected by this medication?

A client is prescribed anticoagulants. The client should be instructed to avoid eating large portions of which foods?

An older client with multiple health problems including diabetes sees several different healthcare providers and recognizes a medication by color and shape. Why should the nurse be concerned about drug-drug interactions in this client?

A client is prescribed a loop diuretic. Which nutrient should the nurse instruct the client to increase in the diet?

A client taking warfarin after aortic valve replacement surgery reports taking gingko biloba every day. For which reason should the nurse report this information to the healthcare provider?

The nurse is concerned that a client is at risk for an interaction that affects drug or nutrient metabolism which occurs after the digestive and absorptive processes are complete. Which alteration in pharmokinetics is this client at risk for experiencing?

A client is prescribed a medication that requires the cytochrome P450 3A4 enzyme system for absorption. Because of this, what should the nurse instruct the client when taking this medication?

An older client has been overusing alcohol for 25 years. Which nutrients should the nurse recommend that this client increase ingesting?

A client is prescribed a monoamine oxidase inhibitor (MAOI). Which food item should the nurse instruct this client to avoid?