Answer to Question 1
C
Feedback:
The calcium channel blockers are a class of drugs that interact with grapefruit juice. When grapefruit juice is present in the body, the concentrations of calcium channel blockers increase, sometimes to toxic levels. Advise patients to avoid drinking grapefruit juice taking a calcium channel blocker. If a patient on a calcium channel blocker reports toxic effects, ask whether he or she is drinking grapefruit juice. Use of alcohol could be important if the patient was ingesting large amounts, but that would not be the most likely cause of drug toxicity. Eggs and cheese should not exert any fooddrug interaction.
Answer to Question 2
C
Feedback:
In this situation, insurance, financial support, and stability would be the most important data and may determine compliance with future drug therapy. The medication history of the patient's parents could indicate a pattern of overall attitude about drug therapy but is not the priority concern. The last time the patient was hospitalized could indicate whether the patient seeks medical care when appropriate or if he self-medicates, contributing to the nurse's knowledge of this individual but this is not the priority concern. The name of the pharmacy would be unnecessary unless the nurse anticipates having to call a prescription in to the pharmacy for the prescriber.
The patient interview often requires note taking.
Palpating the Apical Impulse with the Patient on the Left Side
Patient teaching: vascular assessment
Face-to-face communication is the richest channel to relay a message from the sender to a receiver.
Areas of sclerosis (see arrows) in the white matter of a patient with MS.
First-pass metabolism (biotransformation). Absorption of an orally administered drug.