A patient taking clozapine (Clozaril) says, I get plenty of ...

[FButt]

A patient taking clozapine (Clozaril) says, I get plenty of vitamin C by drinking 8 ounces of grapefruit juice each morning. Select the nurse's best response.
 
  a. High doses of Vitamin C support the immune system and general good health.
  b. Name another juice you would drink, because grapefruit juice can cause a bad reaction while taking clozapine.
  c. Grapefruit juice lessens the effectiveness of your medication. You might need higher doses.
  d. New research shows papaya juice is a better source of vitamin C than grapefruit juice.

Question 2

A family expresses helplessness related to dealing with a mentally ill member's odd behaviors, mood swings, and argumentativeness. An appropriate nursing intervention for the family would be to
 
  a. express sympathy.
  b. involve local social services.
  c. explain symptoms of relapse.
  d. role-play problem situations.

[joewallace]

Answer to Question 1

B
Only the correct option provides vital information based on the cytochrome P-450 enzyme system's involvement in drug metabolism. Clozapine metabolism is inhibited by the ingestion of grapefruit juice, making the likelihood of a toxic reaction to the drug more likely, because the drug accumulates in the body.

Answer to Question 2

D
Helping a family learn to set limits and deal with difficult behaviors can often be accomplished by using role-playing situations, which give family members the opportunity to try new, more effective approaches. The other options would not provide learning opportunities.

[FButt]

Excellent

[alvinum]

TYSM