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 ["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.
Correct Answer is A
Explanation
A. Nitroglycerin is a contraindication for sildenafil because both medications can cause a significant drop in blood pressure when taken together, leading to hypotension and potentially life-threatening complications.
B. Albuterol, a bronchodilator, is not a contraindication for sildenafil.
C. Furosemide, a diuretic, is not a contraindication for sildenafil.
D. Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID), is not a contraindication for sildenafil.
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