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
Discard the vial of medication if the solution is cloudy.
This is because epoetin alfa should not be used if it has been frozen or if it has changed color or has particles in it.
Choice B is wrong because the vial should not be shaken before use.
Choice C is wrong because epoetin alfa should not be diluted with sterile water or any other liquid.
Choice D is wrong because epoetin alfa should not be frozen and therefore does not need to be thawed before administration.
Correct Answer is D
Explanation
A client who has deep-vein thrombosis and is taking warfarin should obtain an International Normalized Ratio (INR) test monthly.
This blood test measures how fast the blood clots and helps the healthcare provider determine if the client is taking the right dose of warfarin to keep them safe from bleeding and making clots.
Choice A is wrong because Platelet count, is not the correct answer because it measures the number of platelets in the blood and is not specifically related to warfarin therapy.
Choice B is wrong because aPTT, is not the correct answer because it measures the time it takes for blood to clot and is used to monitor heparin therapy, not warfarin therapy.
Choice C is wrong because Fibrinogen, is not the correct answer because it measures the amount of fibrinogen in the blood and is not specifically related to warfarin therapy.
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