A client asks the nurse if it is safe to take a glucosamine supplement. The nurse should assess for which of the following potential contraindications?
Shellfish allergy
History of smoking
Cardiac dysrhythmia
Family history of malignant hyperthermia
The Correct Answer is A
A. Shellfish allergy: Glucosamine supplements are often derived from shellfish. Clients with a shellfish allergy may experience an allergic reaction if they take glucosamine, making this an important contraindication to assess before recommending the supplement.
B. History of smoking: Smoking does not directly contraindicate glucosamine use. While smoking has other health risks, it does not increase the risk of adverse effects from this supplement.
C. Cardiac dysrhythmia: Glucosamine is not known to cause cardiac dysrhythmias, and a history of dysrhythmias is generally not a contraindication. Standard monitoring is sufficient.
D. Family history of malignant hyperthermia: Malignant hyperthermia is triggered by certain anesthetic agents, not dietary supplements like glucosamine. This family history does not affect the safety of glucosamine intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Take on an empty stomach: Taking pancrelipase on an empty stomach would reduce its effectiveness because the enzymes need food in the stomach and small intestine to aid in digestion. Without food, nutrient absorption would remain impaired.
B. Take 1 hr before meals: Administering pancrelipase one hour before eating may result in the enzymes passing through the stomach without adequately mixing with food, decreasing digestive efficiency. Timing too far in advance is not recommended.
C. Take 1 hr after meals: Taking the enzyme an hour after eating delays digestion, as nutrients have already moved through the stomach and small intestine. This would reduce the effectiveness of the medication in aiding nutrient absorption.
D. Take with meals: Pancrelipase should be taken during meals or snacks to ensure the enzymes mix with food and facilitate proper digestion and absorption of nutrients. This timing maximizes the therapeutic benefit and helps prevent malnutrition associated with cystic fibrosis.
Correct Answer is C
Explanation
A. Wear an N95 respiratory mask while caring for the toddler: RSV is transmitted via droplet and direct contact, not airborne particles. An N95 mask is not required; a standard surgical mask is sufficient when indicated. Using an N95 would be unnecessary and does not align with standard RSV precautions.
B. Place the toddler in a room with negative air pressure: Negative pressure rooms are reserved for airborne infections, such as tuberculosis or measles. RSV does not require airborne isolation, so a standard private room with contact and droplet precautions is appropriate.
C. Use a designated stethoscope when caring for the toddler: RSV spreads via direct contact and contaminated surfaces. Using a stethoscope dedicated to the infected child helps prevent transmission to other clients, aligning with contact precaution protocols and reducing the risk of cross-contamination.
D. Remove the disposable gown after leaving the toddler's room: Gowns should be removed before leaving the room, not after, to prevent contamination of other areas. Removing the gown inside the room maintains infection control.
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