A patient taking a calcium channel blocker is seen in the clinic ...

[swpotter12]

A patient taking a calcium channel blocker is seen in the clinic and diagnosed with drug toxicity. When collecting the nursing history, what finding would indicate the likely cause of this drug toxicity?
 
  A) Intake of alcohol
  B) The use of eggs in the diet
  C) The ingestion of grapefruit juice
  D) Intake of aged cheese

Question 2

The nurse is gathering assessment data from a medication history of a 38-year-old man with four children. What assessment information would be most important in providing care for this patient?
 
  A) The medication history of the patient's mother and/or father
  B) The name of the patient's pharmacy
  C) Insurance, financial support, and stability for the patient and his family
  D) The last time the patient was hospitalized

[katieost]

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.

[swpotter12]

Both answers were spot on, thank you once again

[katieost]

Great! Please up vote