A client diagnosed with trichomoniasis is prescribed metronidazole (Flagyl). The nurse should instruct the client to avoid which contraindication associated with this medication?

Grapefruit Juice

Dairy

Alcohol

Tyramine-based foods

Answer and Explanation

The Correct Answer is C

A. Grapefruit juice does not have a known interaction with metronidazole and does not need to be avoided.
B. Dairy does not interfere with metronidazole's absorption or effectiveness, so it is not a contraindication.
C. Alcohol should be strictly avoided during and for at least 48 hours after metronidazole treatment, as it can cause a severe reaction, including nausea, vomiting, flushing, and rapid heart rate.
D. Tyramine-based foods do not interact with metronidazole, so they are not a contraindication for this medication.

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Correct Answer is A

Explanation

A. Estrogen blockers can increase the risk of thromboembolic events, including deep vein thrombosis and pulmonary embolism, which the nurse should caution the client about.
B. Tendon rupture is more commonly associated with certain antibiotics and corticosteroids, not typically with estrogen blockers.
C. Photosensitivity is not a common side effect associated with estrogen blockers; it is more related to specific antibiotics or other medications.
D. While some malignancies can be linked to immunosuppressive therapies, the direct risk of lymphomas is not typically associated with estrogen blockers.

A. Back up methods are required for the first 24-hours following insertion. B. Smoking cessation is required to prevent thrombolytic events from occurring. C. This implant is associated with weight loss so make sure you consume enough calories. D. Prevention rate with Nexplanon is 100%.

Correct Answer is A

Explanation

A. Following the insertion of the Nexplanon rod, it is important to inform the client that backup contraception methods are needed for the first 24 hours to ensure pregnancy prevention while the implant becomes effective.
B. While smoking cessation is advised due to the increased risk of thrombotic events with hormonal contraceptives, it is not the priority instruction immediately following the insertion of Nexplanon.
C. The statement regarding weight loss is incorrect; Nexplanon is more commonly associated with weight gain rather than loss, so advising clients on calorie consumption is misleading.
D. Although Nexplanon has a high efficacy rate in preventing pregnancy, stating a prevention rate of 100% is inaccurate and misleading, as no contraceptive method is completely foolproof.

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A client diagnosed with trichomoniasis is prescribed metronidazole (Flagyl). The nurse should instruct the client to avoid which contraindication associated with this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering an estrogen blocker to a client diagnosed with advanced breast cancer. Which of the following side effects will the nurse caution the client regarding?

Correct Answer is A

Explanation

The nurse is caring for a client following the insertion of a Nexplanon rod. Which priority instruction should the nurse provide this client?

Correct Answer is A

Explanation

A nurse is caring for a client receiving cholinergic medications to assist in the treatment of myasthenia gravis. Which contraindication will the nurse assess for prior to administering a cholinergic medication?

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