A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?
"I had strep throat about one year ago."
"I got my flu shot at the pharmacy two weeks ago."
"I plan to continue nursing my baby until he is at least a year old."
"I am allergic to shellfish."
The Correct Answer is C
Rationale:
A. "I had strep throat about one year ago" is not directly related to contraindications for glyburide.
B. "I got my flu shot at the pharmacy two weeks ago" does not affect the use of glyburide.
C. "I plan to continue nursing my baby until he is at least a year old" indicates a contraindication because glyburide is not recommended for use during breastfeeding due to potential effects on the infant.
D. "I am allergic to shellfish" is not relevant to the contraindications for glyburide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Comparing the number of medication errors before and after implementing changes provides a direct measure of the effectiveness of those changes.
B. Conducting a study on costs is relevant but not directly related to evaluating the effectiveness in reducing medication errors.
C. Establishing a benchmark is useful for setting standards but does not measure the impact of changes already implemented.
D. Quantifying staff satisfaction is important for assessing the acceptance of changes but does not directly measure the effectiveness in reducing errors.
Correct Answer is B
Explanation
Rationale:
A. Teaching about low-sodium foods requires specialized knowledge and should be performed by an RN.
B. Measuring and recording intake and output can be done by an AP, as it involves routine data collection rather than clinical judgment.
C. Wound irrigation is a more complex procedure that requires clinical skills and should be performed by an RN or LPN.
D. Evaluating pain relief involves clinical assessment and judgment, which is beyond the scope of an AP.
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