A nurse is reviewing a client's prescribed medications. Which of the following situations represents a contraindication to medication administration?

An antibiotic medication that has a side effect of nausea when taken without food.

Administering medications to a client under 4 months of age.

A antihypertensive medication given for high-blood pressure that causes orthostatic hypotension.

A medication with a Blackbox warning that the drug causes tendonitis and the patient has a history of tendonitis.

Answer and Explanation

The Correct Answer is D

A. An antibiotic medication that has a side effect of nausea when taken without food:
Nausea is a common side effect of many medications, including antibiotics, when taken on an empty stomach. While this side effect may cause discomfort, it is generally not a contraindication to medication administration. Patients can often manage this side effect by taking the medication with food or as advised by their healthcare provider.

B. Administering medications to a client under 4 months of age:
While administering medications to very young children requires special considerations and dosing adjustments, it is not inherently a contraindication. The key is to ensure that the medications are appropriate for the age and weight of the infant, and are prescribed and dosed correctly.

C. An antihypertensive medication given for high-blood pressure that causes orthostatic hypotension:
Orthostatic hypotension is a known side effect of some antihypertensive medications. While this side effect needs to be managed carefully, it does not represent a contraindication to the medication. Adjusting the dose or changing medications may be required to manage this side effect.

D. A medication with a Blackbox warning that the drug causes tendonitis and the patient has a history of tendonitis:
A Black Box warning is the strictest warning put in the labelling of a prescription drug by the FDA. It indicates that the drug has significant risk of serious or life-threatening adverse effects. If a medication with a Black Box warning indicates a risk of tendonitis and the patient has a history of tendonitis, this represents a contraindication, as the drug could exacerbate or trigger the condition, posing a serious risk to the patient.

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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

A) Right to education: While educating patients about their medications is important, it is not one of the traditional Five Rights of Medication Administration. Education ensures that patients understand their treatment, potential side effects, and the importance of adherence, but it is not a core component of the Five Rights.

B) Right Dose: Ensuring the correct dose is administered is crucial to avoid underdosing or overdosing, which can lead to ineffective treatment or adverse effects. The right dose is determined based on factors such as the patient’s age, weight, and medical condition.

C) Right Drug: Administering the correct drug is essential to ensure the patient receives the intended therapeutic effect. This involves verifying the medication name, checking for potential drug interactions, and confirming the prescription details.

D) Right Patient: Verifying the patient’s identity before administering medication is critical to prevent medication errors. This typically involves checking the patient’s wristband, asking for their name and date of birth, and cross-referencing with the medication order.

E) Right Assessment: While assessing the patient before medication administration is important, it is not one of the traditional Five Rights. Assessment involves evaluating the patient’s condition, allergies, and potential contraindications to ensure safe medication administration.

F) Right Evaluation: Evaluating the patient’s response to medication is important for ongoing care, but it is not one of the traditional Five Rights. Evaluation helps determine the effectiveness of the medication and identify any adverse reactions or need for dosage adjustments.

A. Category A- indicate no risk to the human fetus. B. Category C- medications indicated possible risk in humans has been reported. C. Category X - medications have reportable fetal abnormalities associated with consumption. Positive evidence of fetal risk is available in both humans and animals D. Category B -Studies indicate no risk to the animal fetus, with no information on human fetuses available.

Correct Answer is ["A","B","C","D"]

Explanation

A. Category A:
Medications classified as Category A are considered the safest during pregnancy. They have been well-studied in pregnant humans, and no risk to the fetus has been demonstrated. This classification means that adequate and well-controlled studies have shown no evidence of harm to the fetus in the first trimester and no risk in later trimesters.

B. Category C:
Category C medications have shown potential risks to the fetus in animal studies, and there are no well-controlled studies in humans. The benefits of the medication may outweigh the potential risks, but caution is advised. These medications are used when the potential benefits justify the potential risks to the fetus.

C. Category X:
Category X medications are contraindicated in pregnancy due to evidence of fetal abnormalities or risks that outweigh any potential benefits. These medications have demonstrated clear evidence of harm to the fetus in both human and animal studies, and their use is not recommended during pregnancy.

D. Category B:
Category B medications have shown no risk to animal fetuses, but there is a lack of adequate and well-controlled studies in pregnant humans. The absence of evidence of harm in animal studies suggests that these drugs are generally considered safe, though their effects on human fetuses are not well-documented.

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A nurse is reviewing a client's prescribed medications. Which of the following situations represents a contraindication to medication administration?

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Naxlex Comprehensive Predictor Exams

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Explanation

Correct Answer is ["A","B","C","D"]

Explanation

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