A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

Alcohol use disorder

Asthma

Diabetes

Heart failure

Answer and Explanation

The Correct Answer is A

A.   Acetaminophen is contraindicated in clients with alcohol use disorder because chronic alcohol use increases the risk of liver damage, and acetaminophen can cause hepatotoxicity.
B.   Acetaminophen does not have a direct contraindication with asthma.
C.   Acetaminophen is safe for clients with diabetes unless there are other contraindications or liver issues.
D.   Heart failure is not a contraindication for acetaminophen, but caution should be used in cases of severe liver disease, which may be related to heart failure.

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Correct Answer is C

Explanation

A. Morphine is a full agonist on mu receptors and does not act on kappa receptors in the same way.
B. Naloxone is an opioid antagonist that blocks both mu and kappa receptors.
C. Butorphanol is a mixed opioid agonist-antagonist that acts as an agonist on kappa receptors and an antagonist on mu receptors. It is used for pain management and has a lower risk of dependence compared to full opioid agonists.
D. Acetaminophen does not act on opioid receptors and is not classified as an opioid.

A. Diarrhea B. Headache C. Nausea D. Chest pressure

Correct Answer is D

Explanation

A. Diarrhea is a known side effect of celecoxib but not typically a sign of a serious reaction.
B. Headache is a mild side effect that may occur with celecoxib use but is not a severe adverse reaction.
C. Nausea is a common side effect of many medications, including celecoxib, but is not a critical issue unless severe.
D. Chest pressure could indicate cardiovascular problems, which is a serious adverse effect of celecoxib and other COX-2 inhibitors. Clients should report this immediately, as it may indicate a risk for myocardial infarction or stroke.

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A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?

Correct Answer is C

Explanation

A nurse is caring for a client with a prescription for celecoxib (Celebrex). The nurse tells the client to report which of the following adverse drug reactions?

Correct Answer is D

Explanation

A nurse is caring for a client who is taking acetaminophen (Tylenol) at regular intervals for mild pain. The nurse should tell the client to report which of the following early manifestations of acetaminophen toxicity?

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?

A nurse is planning care for a client who has completed a detoxification from opioid abuse disorder. The nurse should expect a prescription for which of the following medications for the treatment of opioid abuse?

A nurse is caring for a client with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

A nurse is educating a client about dantrolene (Dantrium). Which of the following statements indicate the appropriate therapeutic use of this medication?

A nurse is teaching a client about a new prescription for Ibuprofen (Motrin) Which of the following information should the nurse include in the teaching?