A nurse is interviewing a client who was newly admitted prior to administering medications.
The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma."

For which of the following medications should the nurse withhold the dose and notify the provider?

Propranolol.

Isosorbide mononitrate.

Pantoprazole.

Montelukast.

Answer and Explanation

The Correct Answer is A

The nurse should withhold the dose of propranolol and notify the provider.

Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.

In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.

Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.

Choice C is wrong because there is no known interaction between albuterol and pantoprazole.

Choice D is wrong because there is no known interaction between albuterol and montelukast.

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Correct Answer is D

Explanation

Ceftriaxone is contraindicated for this client because it is a cephalosporin antibiotic, which has a similar structure to penicillin and can cause cross-reactivity in individuals with a penicillin allergy.

Choice A is wrong because Vancomycin is not a beta-lactam antibiotic and does not have cross-reactivity with penicillin.

Choice B is wrong because Clarithromycin is a macrolide antibiotic and does not have cross-reactivity with penicillin.

Choice C is wrong because Metronidazole is a nitroimidazole antibiotic and does not have cross-reactivity with penicillin.

A. Erythrocyte sedimentation rate 18 mm/hr. B. aPTT 90 seconds. C. INR.2. D. Platelets 350,000/mm.

Correct Answer is B

Explanation

Heparin is an anticoagulant medication that is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels.

The activated partial thromboplastin time (aPTT) is a laboratory test commonly used to monitor unfractionated heparin therapy.

An aPTT value of 90 seconds is above the therapeutic range and indicates that the heparin infusion rate should be decreased.

Choice A is wrong because Erythrocyte sedimentation rate 18 mm/hr, is not the correct answer because it is not used to monitor heparin therapy.

Choice C is wrong because INR.2, is not the correct answer because it falls within the normal range for INR values and is not used to monitor heparin therapy.

Choice D is wrong because Platelets 350,000/mm, is not the correct answer because it falls within the normal range for platelet counts and is not used to monitor heparin therapy.

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A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

Correct Answer is D

Explanation

Heparin Infusion Review. A nurse is reviewing the laboratory results of a client who is receiving heparin by continuous IV infusion. Which of the following results indicates the nurse should decrease the infusion rate?

Correct Answer is B

Explanation

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A nurse is interviewing a client who was newly admitted prior to administering medications.
The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma."

For which of the following medications should the nurse withhold the dose and notify the provider?