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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Nasal cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia.

It is typically administered once per week into one nostril.
Choice B is wrong because there is no need to lie down for 1 hour after administering the medication.
Choice C is wrong because using a nasal decongestant before administering the medication is not necessary and may interfere with the absorption of the medication.
Choice D is wrong because the duration of treatment with nasal cyanocobalamin varies and should be determined by the provider based on the client’s individual needs.
Correct Answer is C
Explanation
The nurse who identifies the error is responsible for completing an incident report.

Initial reports often come from the frontline personnel directly involved in an event or the actions leading up to it.
Choice A is wrong because the charge nurse is not necessarily responsible for completing an incident report.
Choice B is wrong because the quality improvement committee is not responsible for completing an incident report.
Choice D is wrong because the nurse who caused the error may not be aware of it and therefore may not be responsible for completing an incident report.
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