A nurse is caring for a client who has a new prescription for mirtazapine. Which of the following medications should the nurse identify as a contraindication to the client's new prescription?

Hydroxyzine

Clozapine

Linezolid

Nortriptyline

Answer and Explanation

The Correct Answer is C

A. Hydroxyzine: Hydroxyzine is an antihistamine medication commonly used to treat anxiety and allergic reactions. While it may have interactions with other medications, it is not specifically contraindicated with mirtazapine. However, caution should be exercised when combining medications with sedative effects.

B. Clozapine: Clozapine is an antipsychotic medication primarily used to treat schizophrenia in cases where other medications have not been effective. While it may have interactions with other drugs, it is not specifically contraindicated with mirtazapine. However, caution should be exercised when combining multiple psychotropic medications.

C. Linezolid: Linezolid is an antibiotic medication used to treat certain bacterial infections, including those caused by drug-resistant organisms. It is contraindicated with mirtazapine due to the risk of serotonin syndrome, a potentially life-threatening condition that can occur when serotonin levels in the brain become too high. Concurrent use of linezolid and mirtazapine can lead to serotonin syndrome due to their effects on serotonin levels.

D. Nortriptyline: Nortriptyline is a tricyclic antidepressant medication used to treat depression and various other conditions. While it may interact with other drugs, it is not specifically contraindicated with mirtazapine. However, caution should be exercised when combining multiple antidepressant medications due to the risk of serotonin syndrome.

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Correct Answer is C

Explanation

A) Ginkgo biloba:
While there are potential interactions between ginkgo biloba and certain medications due to its effects on platelet function and blood flow, there are no specific interactions reported between ginkgo biloba and levothyroxine. However, it is always prudent to monitor for any adverse effects or interactions when combining medications and supplements.

B) Zinc:
Zinc supplements are not known to interfere with the absorption of levothyroxine. There are no specific recommendations to separate the administration of zinc supplements from levothyroxine. However, like with any supplement, it is essential to follow healthcare provider recommendations and monitor for any adverse effects.

C) Calcium:
Calcium supplements, particularly those containing calcium carbonate or calcium citrate, can interfere with the absorption of levothyroxine if taken simultaneously. Therefore, it is recommended to wait at least 4 hours after taking levothyroxine before consuming calcium supplements.

D) Vitamin C:
Vitamin C supplements are also not known to interfere significantly with the absorption of levothyroxine. There are no specific guidelines recommending a separation between the administration of vitamin C and levothyroxine. However, as with all supplements, it is essential to follow healthcare provider recommendations and monitor for any adverse effects.

A. Hematuria B. Tremor C. Pruritus D. Slurred speech

Correct Answer is C

Explanation

A. “Hematuria”: Hematuria, or blood in the urine, is not typically a sign of an allergic reaction. It could indicate a urinary tract infection, kidney disease, or other medical conditions, but it is not directly related to an allergic reaction to medication.

B. “Tremor”: While tremors can be a side effect of many medications, they are not typically a sign of an allergic reaction. Tremors are more commonly associated with neurological conditions or medications affecting the nervous system.

C. “Pruritus”: This is the correct answer. Pruritus, or itching, is a common symptom of an allergic reaction. If a client taking cefaclor develops pruritus, it could indicate an allergic reaction to the medication.

D. “Slurred speech”: Slurred speech is not typically a sign of an allergic reaction. It could indicate a neurological condition, such as a stroke, or could be a side effect of certain medications, but it is not directly related to an allergic reaction to medication.

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A nurse is caring for a client who has a new prescription for mirtazapine. Which of the following medications should the nurse identify as a contraindication to the client's new prescription?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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