A nurse is providing client education to a client who has had corticosteroids prescribed.
What drug should the nurse teach the client to avoid while taking the corticosteroids?

Dimenhydrinate.

Aspirin.

Ibuprofen.

Famotidine.

Answer and Explanation

The Correct Answer is B

The client should avoid taking aspirin while taking corticosteroids because of the potential drug-drug interaction between them. This interaction may cause a reduction in the blood levels of aspirin and decrease its effectiveness. It may also increase the risk of gastrointestinal side effects such as inflammation, bleeding, ulceration, and perforation.

Choice A is wrong because dimenhydrinate is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness.

It does not have a significant interaction with corticosteroids.

Choice C is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used to relieve pain, inflammation, and fever.

It has a similar interaction with corticosteroids as aspirin, but it is less potent and less likely to cause bleeding.

Choice D is wrong because famotidine is a histamine-2 receptor antagonist that is used to treat and prevent ulcers, gastroesophageal reflux disease (GERD), and other conditions that cause excess stomach acid.

It does not have a significant interaction with corticosteroids.

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Correct Answer is A

Explanation

Phenothiazines are contraindicated in patients with suspected or established subcortical brain damage. Phenothiazines are a class of drugs that have antipsychotic, antiemetic, and sedative effects. They act by blocking dopamine receptors in the brain and can cause extrapyramidal symptoms, hypotension, and anticholinergic effects.

Choice B is wrong because phenothiazines are not contraindicated in patients with ischemic heart disease.

However, they can cause orthostatic hypotension and cardiac arrhythmias, so they should be used with caution and monitored closely in these patients.

Choice C is wrong because phenothiazines are not contraindicated in pediatric patients.

However, they can cause sedation, hypotension, and extrapyramidal symptoms, so they should be used with caution and at lower doses in these patients.

Choice D is wrong because phenothiazines are not contraindicated in patients with type 2 diabetes.

However, they can cause hyperglycemia and weight gain, so they should be used with caution and monitored closely in these patients.

A. Administer a glycerin suppository as prescribed. B. Administer magnesium hydroxide as prescribed. C. Encourage watchful waiting for 24 hours. D. Encourage feeding supplementation with free water.

Correct Answer is A

Explanation

Glycerin suppositories are safe and effective for infants with constipation. They work by lubricating and softening the stool, and stimulating the rectal muscles to contract.

Choice B is wrong because magnesium hydroxide is not recommended for infants under 6 months of age, and may cause diarrhea, electrolyte imbalance, or magnesium toxicity.

Choice Cis wrong because watchful waiting for 24 hours may not be enough to relieve the infant’s discomfort and may lead to further complications such as fecal impaction or dehydration.

Choice Dis wrong because feeding supplementation with free water may not be sufficient to treat constipation, and may dilute the infant’s intake of nutrients and electrolytes.

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A nurse is providing client education to a client who has had corticosteroids prescribed. What drug should the nurse teach the client to avoid while taking the corticosteroids?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For which client would the use of a phenothiazine most likely be contraindicated?

Correct Answer is A

Explanation

The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days. What is the nurse’s best action?

Correct Answer is A

Explanation

For which client would the use of a phenothiazine most likely be contraindicated?

The nurse is caring for a client who works night shift from 22:00 to 06:00 and normally sleeps from 08:00 (8 AM) until 16:00 (4 PM) each day. The nurse should teach this client to take the prescribed corticosteroid at what time of the day?

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When providing health education to a client taking octreotide, the nurse should warn the client about the possibility of what potential adverse effect?

A nurse is providing client education to a client who has had corticosteroids prescribed.
What drug should the nurse teach the client to avoid while taking the corticosteroids?