A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

Hydrochlorothiazide

Lisinopril

Atenolol

Aspirin

Answer and Explanation

The Correct Answer is C

A. Hydrochlorothiazide does not affect heart rate and can be safely given.
B. Lisinopril does not cause bradycardia.
C. Atenolol is a beta-blocker that slows heart rate; withholding is necessary for bradycardia.
D. Aspirin does not influence heart rate and is not contraindicated.

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Correct Answer is D

Explanation

A. Concurrent use of chondroitin: Chondroitin is commonly used to treat osteoarthritis and can generally be used safely alongside celecoxib.
B. Concurrent use of calcium supplements: Calcium supplements do not have a contraindication with celecoxib and can be used concurrently.
C. Penicillin allergy: A penicillin allergy does not affect the use of celecoxib, as it is unrelated to the penicillin class of antibiotics.
D. Sulfonamide allergy: Celecoxib is a sulfonamide-based medication, so clients with a sulfonamide allergy should not take it due to the risk of an allergic reaction.

A. "Contact the provider if you experience unexplained muscle pain." B. "Take the medication at bedtime." C. "Discard excess medication after 60 days." D. "Inject the medication into the subcutaneous tissue of your abdomen."

Correct Answer is D

Explanation

A. "Contact the provider if you experience unexplained muscle pain.": Muscle pain is not a typical adverse effect of exenatide; this advice would apply to statins or drugs associated with rhabdomyolysis.
B. "Take the medication at bedtime.": Exenatide is usually taken twice daily, 1 hour before morning and evening meals, not at bedtime.
C. "Discard excess medication after 60 days.": Exenatide pens should typically be discarded 30 days after opening, not 60 days.
D. "Inject the medication into the subcutaneous tissue of your abdomen.": Correct. Exenatide is administered subcutaneously, typically in the abdomen, thigh, or upper arm.

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A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?

Nursing Test Bank

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A nurse is reviewing the medical record of a client who has a new prescription for celecoxib to treat osteoarthritis. Which of the following should the nurse recognize as a contraindication for this medication?

Correct Answer is D

Explanation

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Correct Answer is D

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