Safety and Infection ControlQuestion 1729 of 2368

A client takes a medication metabolized by the CYP3A4 enzyme. Which juices should the nurse advise the client to avoid?

  1. Regular orange juice only
  2. Grapefruit juice and sour orange juice
  3. Regular orange juice and sour orange juice
  4. No juices need to be avoided
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Correct answer: Grapefruit juice and sour orange juice

Grapefruit juice and sour orange juice lower CYP3A4 and raise drug blood levels. Regular orange juice had no effect.

Source: Nursing Pharmacology, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Pharmacokinetics & Pharmacodynamics: OLDER ADULT. Licensed under CC BY 4.0.

Practice the topic "Safety and Infection Control"

Questions last reviewed: 18 October 2026