A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?
Metformin
Methotrexate
Esomeprazole
Estrogen
The Correct Answer is B
A. Metformin is not a contraindication for receiving the shingles vaccine.
B. Methotrexate, an immunosuppressant medication, can interfere with the efficacy of live vaccines such as the shingles vaccine, and it is generally contraindicated to administer live vaccines to individuals taking immunosuppressants.
C. Esomeprazole, a proton pump inhibitor, is not a contraindication for receiving the shingles vaccine.
D. Estrogen is not a contraindication for receiving the shingles vaccine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oxycodone, like other opioid medications, can cause constipation, so advising the client to take a stool softener can help prevent or alleviate this common side effect.
B. Urinary frequency is not a common side effect of oxycodone.
C. There is no known association between oxycodone and sunlight exposure, so advising the client to minimize sunlight exposure is unnecessary.
D. Oxycodone can be taken with or without food, so there is no requirement to take it on an empty stomach.
Correct Answer is D
Explanation
A. Verapamil: Verapamil is a calcium channel blocker primarily used to treat supraventricular
tachycardias, not ventricular dysrhythmias. It is not typically used for life-threatening ventricular dysrhythmias.
B. Digoxin: Digoxin is a cardiac glycoside used primarily for atrial fibrillation and heart failure, not ventricular dysrhythmias. It is not typically used for life-threatening ventricular
dysrhythmias.
C. Dopamine: Dopamine is a sympathomimetic medication used for hemodynamic support in hypotension and shock. While it may be used in some cases of unstable bradycardia, it is not the first-line medication for life-threatening ventricular dysrhythmias.
D. Amiodarone: Amiodarone is an antiarrhythmic medication used for the treatment of various ventricular and supraventricular dysrhythmias, including life-threatening ventricular
dysrhythmias such as ventricular tachycardia and ventricular fibrillation. It is often used as a first-line medication for these conditions due to its efficacy and safety profile. Therefore, the nurse should anticipate administering amiodarone for the client's life-threatening ventricular dysrhythmia.
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