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 A

Explanation

Cyclosporine is an immunosuppressant medication that can have nephrotoxic effects.

A creatinine level of.5 mg/dL is above the normal range and may indicate impaired kidney function.

The nurse should report this value to the provider for further evaluation.

Choice B is wrong because Potassium 4.2 mEq/L, is not the correct answer because it falls within the normal range for potassium levels in the blood.

Choice C is wrong because BUN 18 mg/dL, is not the correct answer because it falls within the normal range for blood urea nitrogen levels.

Choice D is wrong because Sodium 139 mEq/L, is not the correct answer because it falls within the normal range for sodium levels in the blood.

A. Ibuprofen. B. Morphine. C. Acetaminophen. D. Aspirin.

Correct Answer is B

Explanation

Opioids such as morphine are used to relieve moderate to severe pain in cancer patients.

Choice A is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that may be used to relieve mild pain, not moderate pain.

Choice C is wrong because acetaminophen may be used to relieve mild pain, not moderate pain.

Choice D is wrong because aspirin is an NSAID that may be used to relieve mild pain, not moderate pain.

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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?

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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?