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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["500"]

Explanation

To calculate the dose of erythromycin per administration, you can follow these steps:

- Determine the total daily dose: 2 g.

- Divide the total daily dose by the number of equally divided doses per day: 2 g / 4 doses =

0.5 g per dose.

- Convert grams to milligrams: 0.5 g * 1000 mg/g = 500 mg.

So, the nurse should administer 500 mg of erythromycin per dose.

A. Peripheral edema B. Alopecia C. Drowsiness D. Tinnitus

Correct Answer is C

Explanation

A. Peripheral edema: Peripheral edema is not a commonly reported adverse effect of paroxetine.

It is more commonly associated with medications such as calcium channel blockers and certain antihypertensive agents.
B. Alopecia: Alopecia, or hair loss, is not a commonly reported adverse effect of paroxetine. Hair loss is more commonly associated with certain chemotherapy agents and other medications.
C. Drowsiness: Drowsiness is a common side effect of paroxetine and other selective serotonin reuptake inhibitors (SSRIs). Clients should be advised to monitor for drowsiness, especially when starting the medication or adjusting the dosage. Drowsiness can affect activities such as driving or operating machinery and may indicate the need for dosage adjustment or medication change.
D. Tinnitus: Tinnitus, or ringing in the ears, is not a commonly reported adverse effect of paroxetine. It is more commonly associated with medications such as certain antibiotics (e.g., aminoglycosides) and high-dose aspirin.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer erythromycin 2 g PO daily in equally divided doses every 6 hr. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["500"]

Explanation

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is C

Explanation

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