A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

Alcohol use disorder

Asthma

Diabetes

Heart failure

Answer and Explanation

The Correct Answer is A

A.   Acetaminophen is contraindicated in clients with alcohol use disorder because chronic alcohol use increases the risk of liver damage, and acetaminophen can cause hepatotoxicity.
B.   Acetaminophen does not have a direct contraindication with asthma.
C.   Acetaminophen is safe for clients with diabetes unless there are other contraindications or liver issues.
D.   Heart failure is not a contraindication for acetaminophen, but caution should be used in cases of severe liver disease, which may be related to heart failure.

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Correct Answer is D

Explanation

A. Morphine sulfate is an opioid used for pain management and not for treating opioid use disorder.
B. Fentanyl is a powerful opioid and would not be prescribed for opioid abuse; it may be used for pain management in certain cases but is not for detoxification or maintenance.
C. Naltrexone is another option for opioid use disorder but is typically used after detoxification. It is not used for detoxification itself.
D. Methadone is commonly prescribed for the treatment of opioid use disorder, as it helps reduce cravings and withdrawal symptoms without causing a high.

A. Petechiae B. Osteoporosis C. Pneumonia D. Diaphoresis

Correct Answer is A

Explanation

A. Petechiae is an early sign of acetaminophen toxicity. It indicates a potential bleeding disorder due to liver damage, which can occur from prolonged or high-dose use of acetaminophen.
B. Osteoporosis is not a symptom of acetaminophen toxicity.
C. Pneumonia is unrelated to acetaminophen toxicity and is more likely to occur due to infections.
D. Diaphoresis (sweating) is not a primary early symptom of acetaminophen toxicity, although it could occur in later stages of liver failure.

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A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has completed a detoxification from opioid abuse disorder. The nurse should expect a prescription for which of the following medications for the treatment of opioid abuse?

Correct Answer is D

Explanation

A nurse is caring for a client who is taking acetaminophen (Tylenol) at regular intervals for mild pain. The nurse should tell the client to report which of the following early manifestations of acetaminophen toxicity?

Correct Answer is A

Explanation

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

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