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 B

Explanation

The client takes ibuprofen for headaches. NSAIDs such as ibuprofen can cause gastrointestinal bleeding, which can result in a false positive result on a fecal occult blood test.

Option A is incorrect because breast cancer is not associated with false-positive fecal occult blood results.

Option C is incorrect because citrus juice does not affect the fecal occult blood test.

Option D is incorrect because a hemorrhoidectomy is not associated with false-positive fecal occult blood results.

Reasons why the other options are not answered:

Option A: Breast cancer is not associated with false-positive fecal occult blood results.

Option C: Citrus juice does not affect the fecal occult blood test.

Option D: A hemorrhoidectomy is not associated with false-positive fecal occult blood results.

A. Hemoglobin 11 g/dL B. WBC count 9,000/mm3 C. Total calcium 10 mg/dL D. PT 12 seconds

Correct Answer is A

Explanation

Epoetin alfa is a medication used to stimulate erythropoiesis, the production of red blood cells. An increase in the client's hemoglobin level indicates that the medication has been effective. The normal range of hemoglobin for adult females is 12-16 g/dL and for adult males is 13.5-17.5 g/dL. A hemoglobin level of 11 g/dL is slightly below the normal range, but it is an improvement from a lower level. Choice B, WBC count 9,000/mm3 is unrelated to the medication and is within the normal range. Choice

C, total calcium 10 mg/dL, and choice D, PT 12 seconds, are also unrelated to the medication and are within the normal range.

Choice B (WBC count 9,000/mm3) is not an answer because it is unrelated to the medication and is within the normal range.

Choice C (total calcium 10 mg/dL) is not an answer because it is unrelated to the medication and is within the normal range.

Choice D (PT 12 seconds) is not an answer because it is unrelated to the medication and is within the normal range.

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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 reviewing the results of a client's fecal occult blood screening test. Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?

Correct Answer is B

Explanation

A nurse is caring for a client who has been receiving epoetin alfa in preparation for a hip arthroplasty. Which of the following findings indicate that the medication has been effective?

Correct Answer is A

Explanation

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