A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?

Metformin

Methotrexate

Esomeprazole

Estrogen

Answer and Explanation

The Correct Answer is B

A. Metformin is not a contraindication for receiving the shingles vaccine.

B.   Methotrexate, an immunosuppressant medication, can interfere with the efficacy of live vaccines such as the shingles vaccine, and it is generally contraindicated to administer live vaccines to individuals taking immunosuppressants.

C.   Esomeprazole, a proton pump inhibitor, is not a contraindication for receiving the shingles vaccine.
D.   Estrogen is not a contraindication for receiving the shingles vaccine.

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Correct Answer is C

Explanation

A. Orange juice is not typically restricted with phenelzine use.

B. Sweet potatoes are not typically restricted with phenelzine use.

C. Cheddar cheese contains tyramine, which can cause a hypertensive crisis when consumed with phenelzine, a monoamine oxidase inhibitor (MAOI).
D. Canned tuna is not typically restricted with phenelzine use.

A. To assess compatibility of the verapamil with newly ordered medications B. To request a change in the dosage of the verapamil C. To verify the frequency of administration of the verapamil D. To report the client's refusal to take the verapamil

Correct Answer is A

Explanation

A. To assess compatibility of the verapamil with newly ordered medications: Verapamil is a calcium channel blocker used to treat hypertension, angina, and arrhythmias. It has potential interactions with many other medications due to its effects on cardiac conduction and blood
pressure. Therefore, consulting the pharmacist is important to assess compatibility and potential drug interactions when new medications are prescribed.
B. To request a change in the dosage of the verapamil: Changing the dosage of verapamil may require a healthcare provider's order rather than consultation with a pharmacist.
C. To verify the frequency of administration of the verapamil: The frequency of administration of verapamil is typically determined by the healthcare provider and documented in the prescription. The pharmacist's role may involve dispensing the medication as prescribed but not verifying the frequency unless there are discrepancies.
D. To report the client's refusal to take the verapamil: Reporting the client's refusal to take the medication should be communicated to the healthcare provider for further assessment and
intervention. The pharmacist's role is primarily related to medication dispensing and ensuring appropriate use rather than addressing client refusals.

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A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid?

Correct Answer is C

Explanation

A nurse is caring for a client who has a history of cardiac arrhythmias and is taking verapamil. For which of the following reasons should the nurse consult the pharmacist?

Correct Answer is A

Explanation

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