A nurse is caring for a client who has a sulfa allergy. Which of the following prescriptions should the nurse clarify with the provider?

Celecoxib

Atorvastatin

Prednisone

Digoxin

Answer and Explanation

The Correct Answer is A

Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that can cross-react with sulfa and should be avoided in clients with a sulfa allergy. Atorvastatin, prednisone, and digoxin do not contain sulfa and are safe for clients with a sulfa allergy.

Choice B: Atorvastatin does not contain sulfa and is safe for clients with a sulfa allergy.

Choice C: Prednisone does not contain sulfa and is safe for clients with a sulfa allergy.

Choice D: Digoxin does not contain sulfa and is safe for clients with a sulfa allergy.

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Correct Answer is A

Explanation

The nurse should instruct the client to avoid taking medications for erectile dysfunction, such as sildenafil, within 24 hours of taking nitroglycerin due to the risk of severe hypotension.

Reasons why the other options are not answers:

Option B: Metformin is not contraindicated with nitroglycerin.

Option C: Omeprazole is not contraindicated with nitroglycerin.

Option D: Atorvastatin is not contraindicated with nitroglycerin.

A. Rolls soiled linen with the clean side in before placing it in the laundry bag. B. Cleans a blood spill with chlorine bleach. C. Performs hand hygiene with hands at elbow level. D. Instructs a female client to wipe the perineal area from back to front.

Correct Answer is B

Explanation

The correct answer is choice B, which cleans a blood spill with chlorine bleach. This is an appropriate action for infection control because bleach is an effective disinfectant that can kill most pathogens, including bloodborne viruses such as HIV and hepatitis B and C.

A. Rolling soiled linen with the clean side in it before placing it in the laundry bag is not the correct answer because it can spread pathogens and cause cross-contamination.

Performing hand hygiene with hands at elbow level is not the correct answer because it is not the correct technique for hand hygiene, which involves washing hands with soap and water or using an alcohol-based hand sanitizer.

Instructing a female client to wipe the perineal area from back to front is not the correct answer because it can cause contamination of the urethra and increase the risk of urinary tract infections.

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A nurse is caring for a client who has a sulfa allergy. Which of the following prescriptions should the nurse clarify with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hr of using nitroglycerin?

Correct Answer is A

Explanation

A charge nurse is reinforcing teaching about infection control with a newly licensed nurse. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has psoriasis. Which of the following treatment options should the nurse include in the teaching?

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