The client diagnosed with arterial hypertension and has been talking a calcium channel blocker, a loop...

The client diagnosed with arterial hypertension and has been talking a calcium channel blocker, a loop diuretic, and an ACE inhibitor for three (3) years. Which statement by the client would warrant intervention by the nurse?
1. “I have to go to the BR a lot during the morning”
2. “I get up very slowly when I have been sitting for a while”
3. “I do not salt my food when I am cooking it but I add it at the table”
4. “I drink grapefruit juice every morning with my breakfast”

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Expert Solution

The client diagnosed with arterial hypertension and has been talking a calcium channel blocker, a loop diuretic, and an ACE inhibitor for three (3) years. The statement, “I drink grapefruit juice every morning with my breakfast” would warrant intervention by the nurse.

Answer - d.“I drink grapefruit juice every morning with my breakfast”

grapefruit juice will interact with ACE inhibitors and calcium channel blockers according to FDA (food and drug administration).

The grapefruit juice can interferes with the amount of medication absorps in intestine.

1. It can increases the amount of medication absorps in intestine, excess amount of medication in blood can cause hypotension or leads to toxicity.

2. It can decrease the amount of medication absorps in intestine, small amount of medication in blood does not gives a therapeutic effect.

Other options are not applicable because

“I have to go to the BR a lot during the morning” (the patient is taking diuretics in the morning and it is good to take diuretics in morning)

“I get up very slowly when I have been sitting for a while” (It is a good practice to avoid orthostatic hypotension).

Nightingale answered 1 year ago

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