A nurse is reviewing the medical record of a client who is taking acetaminophen to relieve headache pain.

Which of the following conditions in the client's history should the nurse identify as a contraindication?

Cystitis

Hepatitis C

Hypotension

Diabetes mellitus

Answer and Explanation

The Correct Answer is B

The correct answer is B.

Hepatitis C is a contraindication for taking acetaminophen because it can cause hepatotoxicity and liver failure in clients who have liver disease. Cystitis, hypotension, and diabetes mellitus are not contraindications for taking acetaminophen.

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Correct Answer is C

Explanation

Explanation: According to the Institute of Medicine, women who are obese before pregnancy (BMI of 30 or higher) should gain 11 to 20 pounds during pregnancy. Therefore, 16 lb is an acceptable weight gain for this client.

A. The restraints are attached to the side rails of the client's bed. B. The nurse can insert three fingers under the secured restraint. C. The restraints are secured with a quick-release knot. D. The restraint's soft pad faces away from the client's skin.

Correct Answer is C

Explanation

The correct answer is choice c. The restraints are secured with a quick-release knot.

Choice A rationale:

The restraints should never be attached to the side rails of the bed. This can cause injury if the side rails are moved up or down. Instead, restraints should be attached to a part of the bed frame that does not move.

Choice B rationale:

The nurse should be able to insert only two fingers under the secured restraint. If three fingers can be inserted, the restraint is too loose and may not effectively prevent the patient from harming themselves or others.

Choice C rationale:

Securing the restraints with a quick-release knot is correct because it allows for easy and rapid removal in case of an emergency.

Choice D rationale:

The soft pad of the restraint should face the client’s skin to prevent skin irritation and injury. If the soft pad faces away from the skin, it can cause discomfort and potential harm.

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A nurse is reviewing the medical record of a client who is taking acetaminophen to relieve headache pain. Which of the following conditions in the client's history should the nurse identify as a contraindication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary teaching with a client whose prepregnancy BMI was 30.5. The nurse should include that which of the following is an acceptable weight gain for this client?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A nurse is reviewing the medical record of a client who is taking acetaminophen to relieve headache pain.

Which of the following conditions in the client's history should the nurse identify as a contraindication?