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Which antimicrobial class would be contraindicated in a client who will be receiving neuromuscular blockade for a surgical procedure?

A.

Fluroquinolones

B.

Aminoglycosides

C.

Carbapenems

D.

Macrolides

Answer and Explanation

The Correct Answer is B

A.    Fluoroquinolones, such as ciprofloxacin and levofloxacin, do not have a known significant interaction with neuromuscular blockers. They can generally be used safely in patients receiving neuromuscular blockade.
B.    Aminoglycosides (such as gentamicin, tobramycin, and amikacin) can potentiate the effects of neuromuscular blockers and may lead to increased neuromuscular blockade. This can result in respiratory depression or paralysis, making them contraindicated in patients receiving neuromuscular blockers.
C.    Carbapenems (such as meropenem and imipenem) do not typically have a significant interaction with neuromuscular blockers. They can generally be used safely, although careful monitoring is always recommended in patients with neuromuscular blockade.
D.    Macrolides (such as azithromycin and erythromycin) do not have a major contraindication with neuromuscular blockers. While they can affect certain neuromuscular transmission processes, they are not typically contraindicated in this context.


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Related Questions

Correct Answer is C

Explanation

A. ACE inhibitors can cause a dry cough in some patients, but this is not typically a severe issue for patients with asthma.
B. These medications do not have a significant impact on respiratory function and are generally safe for patients with asthma.
C. Beta-blockers can constrict the airways, making them less suitable for patients with asthma. They can worsen asthma symptoms, trigger bronchospasm, and reduce the effectiveness of beta-agonist bronchodilators.
D. Thiazide diuretics do not have a significant impact on respiratory function and are generally safe for patients with asthma.

Correct Answer is D

Explanation

A. While it may be important to inform the parents later, this is not the immediate priority. The first step should be to assess and manage the current situation before involving the parents.
B. This is a reasonable action to help soothe the itching and irritation caused by contact dermatitis. However, before applying compresses, it’s crucial to ensure that the area is clean and that there is no potential for worsening the condition.
C. This may be necessary if the reaction is severe or worsening, but in this case, the student is exhibiting signs consistent with contact dermatitis, which can often be managed effectively at school without immediate medical intervention.
D. Washing the affected area with soap and water helps remove any potential irritants or allergens that may be causing the dermatitis. This action can help prevent the condition from worsening and relieve some of the symptoms.

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