A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?
Lithium carbonate
Albuterol
Levothyroxine
Cetirizine
The Correct Answer is A
A. Furosemide can decrease the renal clearance of lithium, leading to increased lithium levels in the blood. This can potentiate the toxic effects of lithium, such as neurotoxicity and cardiac toxicity. Therefore, concurrent use of furosemide and lithium is generally contraindicated, and caution is advised. The nurse should identify lithium carbonate as contraindicated in this scenario.
B. Albuterol is a bronchodilator commonly used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). There are no significant contraindications between albuterol and furosemide.
C. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. There are no significant contraindications between levothyroxine and furosemide.
D. Cetirizine is an antihistamine used to treat allergies and allergic reactions. There are no significant contraindications between cetirizine and furosemide. They are generally considered safe to use together.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. The absence of headache indicates a therapeutic response to sumatriptan. Sumatriptan is specifically indicated for the acute treatment of migraine attacks with or without aura and the acute treatment of cluster headache episodes. The absence of headache indicates that sumatriptan has effectively relieved the headache symptoms.
A. Improved mood is not a direct therapeutic response to sumatriptan. While relieving headache pain may contribute to an improved mood, sumatriptan primarily targets headache symptoms rather than mood regulation.
B. Increased bone mass is not a therapeutic response to sumatriptan. Sumatriptan does not affect bone metabolism or bone mass. Therefore, changes in bone mass would not be related to sumatriptan therapy.
C. Sumatriptan is not used in the management of chest pain.
Correct Answer is D
Explanation
D. Chills are a hallmark sign of febrile nonhemolytic reactions. These reactions typically present with fever, chills, and occasionally rigors (shivering). They are caused by recipient antibodies reacting to donor leukocytes or cytokines present in the transfused blood components.
A. Dyspnea (difficulty breathing) is not typically associated with febrile nonhemolytic reactions. It is more commonly seen in acute hemolytic reactions or transfusion-related acute lung injury (TRALI).
B. Urticaria (hives) is more commonly associated with allergic transfusion reactions rather than febrile nonhemolytic reactions.
C. Vomiting is not a characteristic feature of febrile nonhemolytic reactions. It may occur in some cases of transfusion reactions, but it is not specific to febrile nonhemolytic reactions.
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