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 {"A":{"answers":"C"},"B":{"answers":"D"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

Naloxone is an opioid antagonist and is used to reverse opioid overdoses.

Flumazenil is a benzodiazepine antagonist and can reverse the effects of benzodiazepines.

Glucagon can be used to treat beta-blocker overdose by increasing heart rate and blood pressure.

Acetylcysteine acts as an antidote for acetaminophen toxicity by replenishing glutathione levels to enhance non-toxic metabolism of acetaminophen.

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

A charge nurse is teaching a group of nurses about the antagonist action of reversal medications. For each medication listed below, click to specify the expected reversal agent

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"D"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

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

Explanation

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