A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr.
Which of the following findings indicates a need for the nurse to notify the provider?

Hypothyroidism.

History of alcohol use disorder.

Recurrent headaches.

BP 92/60 mm Hg.

Answer and Explanation

The Correct Answer is B

Acetaminophen is metabolized by the liver and can cause liver damage when taken in large doses or for a prolonged period of time.

Someone with an alcohol use disorder may already have a compromised liver, and combining acetaminophen with more alcohol can worsen the risk of irreparable damage.

Choice A is wrong because Hypothyroidism, is not a contraindication for acetaminophen use.

Choice C is wrong because Recurrent headaches, is not a contraindication for acetaminophen use.

Choice D is wrong because BP 92/60 mm Hg, is not a contraindication for acetaminophen use.

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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. "I will limit potassium-rich foods in my diet.” B. "I will take the medication on an empty stomach.” C. "I will use salt substitutes in place of table salt.” D. "I will double up on my medication if I miss a dose.”

Correct Answer is A

Explanation

Spironolactone is a potassium-sparing diuretic that can increase potassium levels in the blood.

It is important for clients taking spironolactone to limit their intake of potassium-rich foods to prevent hyperkalemia (high potassium levels).

Choice B is wrong because “I will take the medication on an empty stomach,” is not the correct answer because spironolactone can be taken with or without food.

Choice C is wrong because “I will use salt substitutes in place of table salt,” is not the correct answer because many salt substitutes contain potassium and can increase the risk of hyperkalemia.

Choice D is wrong because “I will double up on my medication if I miss a dose,” is not the correct answer because it is not recommended to double up on medication if a dose is missed.

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A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to 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

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Correct Answer is A

Explanation

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A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr.
Which of the following findings indicates a need for the nurse to notify the provider?