A client asks the nurse if it is safe to take a glucosamine supplement. The nurse should assess for which of the following potential contraindications?
Shellfish allergy
History of smoking
Cardiac dysrhythmia
Family history of malignant hyperthermia
The Correct Answer is A
A. Shellfish allergy: Glucosamine supplements are often derived from shellfish. Clients with a shellfish allergy may experience an allergic reaction if they take glucosamine, making this an important contraindication to assess before recommending the supplement.
B. History of smoking: Smoking does not directly contraindicate glucosamine use. While smoking has other health risks, it does not increase the risk of adverse effects from this supplement.
C. Cardiac dysrhythmia: Glucosamine is not known to cause cardiac dysrhythmias, and a history of dysrhythmias is generally not a contraindication. Standard monitoring is sufficient.
D. Family history of malignant hyperthermia: Malignant hyperthermia is triggered by certain anesthetic agents, not dietary supplements like glucosamine. This family history does not affect the safety of glucosamine intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Banana slices: Soft, ripe bananas are easy for toddlers to chew and swallow, making them a safe option that minimizes the risk of choking and aspiration. Cutting the fruit into small, manageable pieces further reduces the risk and aligns with recommended feeding practices for young children.
B. Popcorn: Popcorn is a high-risk food for toddlers due to its small, hard, and irregular pieces that can easily lodge in the airway. It should be avoided in young children to prevent choking and aspiration hazards.
C. Hot dogs: Whole or large pieces of hot dogs are a major choking risk for toddlers because they are firm, slippery, and can block the airway. If served, they should be cut into very small, lengthwise pieces, but they are generally not recommended for very young children.
D. Seeded grapes: Grapes with seeds are hard and round, posing a significant aspiration risk for toddlers. Seeds increase the likelihood of airway obstruction, making this food unsafe for young children without proper modification.
Correct Answer is B
Explanation
A. Wear a mask while in the room with the toddler: Varicella (chickenpox) is transmitted via airborne and contact routes. Standard precautions include contact and airborne precautions, so an N95 or fitted mask is required rather than a simple mask.
B. Wipe the stethoscope with an alcohol-based gel after use: Cleaning equipment that comes into contact with the client helps prevent the spread of infection. Alcohol-based disinfectants effectively reduce transmission of varicella from shared medical equipment.
C. Place the toddler in a room with positive-pressure airflow: Positive-pressure rooms are used for immunocompromised clients to prevent pathogens from entering. Airborne precautions for varicella require a negative-pressure room to prevent spreading the virus to others.
D. Schedule the toddler for private time in the playroom: Allowing a child with varicella in communal areas risks spreading the virus to susceptible children. The toddler should remain in isolation until lesions crust over.
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