A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

Prior episode of kidney stones

Taking levothyroxine orally

Has a systemic fungal infection

History of asthma

Answer and Explanation

The Correct Answer is C

A.   Prior episode of kidney stones: A history of kidney stones is not a contraindication to prednisone therapy. However, it may require monitoring due to potential fluid and electrolyte imbalances associated with corticosteroid use.
B.   Taking levothyroxine orally: Taking levothyroxine orally is not a contraindication to prednisone therapy. However, concurrent use of corticosteroids and levothyroxine may require dosage adjustments of both medications due to potential interactions.
C.   Has a systemic fungal infection: Corticosteroids like prednisone can suppress the immune system, increasing the risk of fungal infections and worsening existing fungal infections.
Therefore, the presence of a systemic fungal infection is a contraindication to corticosteroid therapy.
D.   History of asthma: Asthma is not a contraindication to prednisone therapy. In fact, prednisone is commonly used as a treatment for asthma exacerbations. However, caution may be needed in individuals with asthma to avoid exacerbating symptoms or complications.

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Correct Answer is C

Explanation

A. An increased heart rate can be a sign of dehydration and would not indicate that IV fluid replacement has been effective.
B. Excessive thirst is a symptom of dehydration and would not indicate that IV fluid replacement has been effective.
C. Moist oral mucous membranes indicate improved hydration status and are a positive response to IV fluid replacement.
D. Decreased blood pressure is a sign of dehydration and would not indicate that IV fluid replacement has been effective.

A. Endocarditis B. Kidney transplant C. Seizures D. Hypokalemia

Correct Answer is A

Explanation

A. Endocarditis: Metronidazole is an antibiotic commonly used to treat infections caused by anaerobic bacteria, including certain types of endocarditis.
B. Kidney transplant: Metronidazole is not typically indicated for kidney transplant. Other antibiotics may be used in post-transplant care to prevent or treat infections.
C. Seizures: Metronidazole is not indicated for seizures. In fact, it may rarely cause neurological side effects such as seizures, but it is not typically used to treat seizures.
D. Hypokalemia: Metronidazole is not indicated for hypokalemia. It is an antibiotic and does not directly affect potassium levels.

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A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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