Chapter 15. Interactions: Food and Nutrients Versus Medications and Supplements
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A nurse is teaching a client that interactions between medications and food or nutrients may happen
prior to administration. Which type of reaction does this describe?
1. Type I
2. Type II
3. Type III
4. Type IV
____ 2. A client is receiving anticoagulation therapy with warfarin. What dietary changes should the nurse
instruct?
1. Increased broccoli consumption
2. Increased kale consumption
3. Limited consumption of bananas
4. Limited consumption of raw spinach
____ 3. A nurse is caring for a client who is taking niacin for high cholesterol. The client notes that he
sometimes takes aspirin to alleviate headaches. How should the nurse respond?
1. “Aspirin can cause hypotension when taken with niacin.”
2. “Most OTC pain killers are okay to take with niacin.”
3. “Aspirin may limit the effectiveness of niacin.”
4. “Do not take aspirin while taking niacin.”
____ 4. A client has just been prescribed tetracycline. Which instructions should a nurse give?
1. This is safe to take 30 minutes before drinking milk.
2. Take with a meal.
3. Take 2 hours after consuming red meat.
4. This is safe to take with laxatives.
____ 5. A nurse is making follow-up calls on recently discharged clients. Which of the following clients is
most at-risk for a food and drug interaction?
1. Geriatric client who takes blood thinners
2. Adolescent client who occasionally takes ibuprofen
3. Pediatric client prescribed tetracycline
4. Adult client who takes St. John’s wort
____ 6. A nurse is conducting a nutrition assessment of a client. The client reports taking multiple nutritional
supplements to maintain good health. The client has not gained or lost weight in the last several
years, eats a balanced diet, and only consumes alcohol occasionally. Which factor may cause the
nurse to request further nutritional assessment?
1. Weight history
Copyright © 2019 F. A. Davis Company
, 2. Diet
3. Nutritional supplement regimen
4. Alcohol consumption
____ 7. A nurse is caring for a client who notes that he takes St. John’s wort regularly. Which medication is
contraindicated for this client?
1. Paroxetine
2. Tetracycline
3. Carbamazepine
4. Phenytoin
____ 8. A nurse is teaching a seminar on appropriate uses of nutritional supplements. Which people should
the nurse discourage from using ginkgo biloba?
1. Clients using oral contraceptives
2. Clients who take aspirin regularly
3. Clients who take antivirals to treat HIV
4. Clients who take calcium supplements
____ 9. A client has just been prescribed phenelzine. Which of the following foods should the client avoid?
1. Bread
2. Figs
3. American cheese
4. Coffee
____ 10. Which food can be moderately consumed on a tyramine-restricted diet?
1. Gouda cheese
2. Bananas
3. Bologna
4. Chocolate
____ 11. A nurse is counseling a client who is a marathon runner. Which statement made by the nurse is
correct?
1. We should be able to manage your nutrient needs with dietary supplements.
2. You should consume 10 to 12 grams of carbohydrates per kilogram of your body
weight in the days before your race.
3. Your nutrient needs will be lower than the AMDR.
4. Ideally, you should consume 30 grams of grits 5 minutes prior to the race.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 12. A nurse is educating a client on the effects of niacin. Which of the following statements by the nurse
is true? Select all that apply.
1. Niacin decreases the efficacy of warfarin.
Copyright © 2019 F. A. Davis Company
, 2. Niacin should not be taken with aspirin.
3. Niacin decreases the absorption of tetracycline.
4. Naproxen decreases bleeding risk when taken with niacin.
5. Niacin may cause hypotension when taken with certain drugs.
____ 13. A nurse is educating a client who takes a zinc supplement. Which medications should the nurse
inform the client to avoid or take separately from this supplement? Select all that apply.
1. Tetracycline
2. Ciprofloxacin
3. Phenobarbital
4. Nitrous oxide
5. Corticosteroids
____ 14. A nurse is caring for a female geriatric client. The client takes medication for type 2 diabetes and
arthritis. During assessment, the client notes that she consumes orange juice each morning with
breakfast and takes a St. John’s wort supplement. Which factors place this client at-risk for food and
drug interactions? Select all that apply.
1. The client’s age
2. The client’s consumption of orange juice
3. The client’s use of St. John’s wort supplement
4. The client’s gender
5. The client’s medication regimen
____ 15. Which of the following contributes to lack of standardization in the potency of herbal supplements?
Select all that apply.
1. Species of plant used
2. Part of the plant used
3. Inclusion of heavy metals
4. Time of harvest
5. Storage conditions
____ 16. A nurse is caring for a female client who is of childbearing age. The client notes that she has
struggled with depression in the past, so she takes St. John’s wort rather than pharmaceutical
antidepressants. What statements should the nurse make? Select all that apply.
1. Be sure to use a barrier method of contraception.
2. Consult your health-care provider prior to starting anticoagulants.
3. You are at increased risk for serotonin syndrome.
4. You should avoid taking tetracycline.
5. You should notify your health-care provider if you develop a heart condition.
____ 17. A nurse is caring for a client who takes ginkgo biloba. Which other questions should the nurse ask to
assess the client’s assessment and medication use? Select all that apply.
1. How long have you used this product?
2. Do you take medications for any heart conditions?
3. Do you take any medications for depression?
Copyright © 2019 F. A. Davis Company
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A nurse is teaching a client that interactions between medications and food or nutrients may happen
prior to administration. Which type of reaction does this describe?
1. Type I
2. Type II
3. Type III
4. Type IV
____ 2. A client is receiving anticoagulation therapy with warfarin. What dietary changes should the nurse
instruct?
1. Increased broccoli consumption
2. Increased kale consumption
3. Limited consumption of bananas
4. Limited consumption of raw spinach
____ 3. A nurse is caring for a client who is taking niacin for high cholesterol. The client notes that he
sometimes takes aspirin to alleviate headaches. How should the nurse respond?
1. “Aspirin can cause hypotension when taken with niacin.”
2. “Most OTC pain killers are okay to take with niacin.”
3. “Aspirin may limit the effectiveness of niacin.”
4. “Do not take aspirin while taking niacin.”
____ 4. A client has just been prescribed tetracycline. Which instructions should a nurse give?
1. This is safe to take 30 minutes before drinking milk.
2. Take with a meal.
3. Take 2 hours after consuming red meat.
4. This is safe to take with laxatives.
____ 5. A nurse is making follow-up calls on recently discharged clients. Which of the following clients is
most at-risk for a food and drug interaction?
1. Geriatric client who takes blood thinners
2. Adolescent client who occasionally takes ibuprofen
3. Pediatric client prescribed tetracycline
4. Adult client who takes St. John’s wort
____ 6. A nurse is conducting a nutrition assessment of a client. The client reports taking multiple nutritional
supplements to maintain good health. The client has not gained or lost weight in the last several
years, eats a balanced diet, and only consumes alcohol occasionally. Which factor may cause the
nurse to request further nutritional assessment?
1. Weight history
Copyright © 2019 F. A. Davis Company
, 2. Diet
3. Nutritional supplement regimen
4. Alcohol consumption
____ 7. A nurse is caring for a client who notes that he takes St. John’s wort regularly. Which medication is
contraindicated for this client?
1. Paroxetine
2. Tetracycline
3. Carbamazepine
4. Phenytoin
____ 8. A nurse is teaching a seminar on appropriate uses of nutritional supplements. Which people should
the nurse discourage from using ginkgo biloba?
1. Clients using oral contraceptives
2. Clients who take aspirin regularly
3. Clients who take antivirals to treat HIV
4. Clients who take calcium supplements
____ 9. A client has just been prescribed phenelzine. Which of the following foods should the client avoid?
1. Bread
2. Figs
3. American cheese
4. Coffee
____ 10. Which food can be moderately consumed on a tyramine-restricted diet?
1. Gouda cheese
2. Bananas
3. Bologna
4. Chocolate
____ 11. A nurse is counseling a client who is a marathon runner. Which statement made by the nurse is
correct?
1. We should be able to manage your nutrient needs with dietary supplements.
2. You should consume 10 to 12 grams of carbohydrates per kilogram of your body
weight in the days before your race.
3. Your nutrient needs will be lower than the AMDR.
4. Ideally, you should consume 30 grams of grits 5 minutes prior to the race.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 12. A nurse is educating a client on the effects of niacin. Which of the following statements by the nurse
is true? Select all that apply.
1. Niacin decreases the efficacy of warfarin.
Copyright © 2019 F. A. Davis Company
, 2. Niacin should not be taken with aspirin.
3. Niacin decreases the absorption of tetracycline.
4. Naproxen decreases bleeding risk when taken with niacin.
5. Niacin may cause hypotension when taken with certain drugs.
____ 13. A nurse is educating a client who takes a zinc supplement. Which medications should the nurse
inform the client to avoid or take separately from this supplement? Select all that apply.
1. Tetracycline
2. Ciprofloxacin
3. Phenobarbital
4. Nitrous oxide
5. Corticosteroids
____ 14. A nurse is caring for a female geriatric client. The client takes medication for type 2 diabetes and
arthritis. During assessment, the client notes that she consumes orange juice each morning with
breakfast and takes a St. John’s wort supplement. Which factors place this client at-risk for food and
drug interactions? Select all that apply.
1. The client’s age
2. The client’s consumption of orange juice
3. The client’s use of St. John’s wort supplement
4. The client’s gender
5. The client’s medication regimen
____ 15. Which of the following contributes to lack of standardization in the potency of herbal supplements?
Select all that apply.
1. Species of plant used
2. Part of the plant used
3. Inclusion of heavy metals
4. Time of harvest
5. Storage conditions
____ 16. A nurse is caring for a female client who is of childbearing age. The client notes that she has
struggled with depression in the past, so she takes St. John’s wort rather than pharmaceutical
antidepressants. What statements should the nurse make? Select all that apply.
1. Be sure to use a barrier method of contraception.
2. Consult your health-care provider prior to starting anticoagulants.
3. You are at increased risk for serotonin syndrome.
4. You should avoid taking tetracycline.
5. You should notify your health-care provider if you develop a heart condition.
____ 17. A nurse is caring for a client who takes ginkgo biloba. Which other questions should the nurse ask to
assess the client’s assessment and medication use? Select all that apply.
1. How long have you used this product?
2. Do you take medications for any heart conditions?
3. Do you take any medications for depression?
Copyright © 2019 F. A. Davis Company
