A nurse is caring for a client who has a new prescription for mirtazapine. Which of the following medications should the nurse identify as a contraindication to the client's new prescription?
Hydroxyzine
Clozapine
Linezolid
Nortriptyline
The Correct Answer is C
A. Hydroxyzine: Hydroxyzine is an antihistamine medication commonly used to treat anxiety and allergic reactions. While it may have interactions with other medications, it is not specifically contraindicated with mirtazapine. However, caution should be exercised when combining medications with sedative effects.
B. Clozapine: Clozapine is an antipsychotic medication primarily used to treat schizophrenia in cases where other medications have not been effective. While it may have interactions with other drugs, it is not specifically contraindicated with mirtazapine. However, caution should be exercised when combining multiple psychotropic medications.
C. Linezolid: Linezolid is an antibiotic medication used to treat certain bacterial infections, including those caused by drug-resistant organisms. It is contraindicated with mirtazapine due to the risk of serotonin syndrome, a potentially life-threatening condition that can occur when serotonin levels in the brain become too high. Concurrent use of linezolid and mirtazapine can lead to serotonin syndrome due to their effects on serotonin levels.
D. Nortriptyline: Nortriptyline is a tricyclic antidepressant medication used to treat depression and various other conditions. While it may interact with other drugs, it is not specifically contraindicated with mirtazapine. However, caution should be exercised when combining multiple antidepressant medications due to the risk of serotonin syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “Increased urinary output”: Increased urinary output is not typically associated with the effectiveness of ondansetron. Ondansetron is an antiemetic medication used to prevent nausea and vomiting, and it does not directly affect the urinary system.
B. “Reduced dizziness”: While dizziness can be a symptom of conditions such as vertigo, motion sickness, or certain types of migraines, ondansetron is primarily used to prevent nausea and vomiting. It may not have a significant effect on dizziness.
C. “Decreased nausea”: This is the correct answer. Ondansetron is an antiemetic medication, which means it’s designed to prevent and treat nausea and vomiting. Therefore, a decrease in nausea is a clear indication that the ondansetron is effective.
D. “Absence of peripheral neuropathy”: Ondansetron does not typically have an effect on peripheral neuropathy. Peripheral neuropathy is a result of damage to the nerves outside of the brain and spinal cord, and it’s not something that ondansetron is used to treat. Therefore, the absence of peripheral neuropathy would not be an indication of ondansetron’s effectiveness.
Correct Answer is B
Explanation
A) Bronchospasms:
Atropine can be used to treat bronchospasms by dilating the bronchi and bronchioles, thereby increasing airflow to the lungs. It is not contraindicated in clients with bronchospasms.
B) Glaucoma:
Correct. Atropine is contraindicated in clients with glaucoma. Atropine can cause pupillary dilation (mydriasis) and increase intraocular pressure, which can worsen the symptoms of glaucoma and potentially lead to vision loss.
C) Diverticulitis:
Atropine is not contraindicated in clients with diverticulitis. Diverticulitis is inflammation or infection of small pouches (diverticula) that can develop in the walls of the intestines. Atropine can be used to treat various gastrointestinal conditions, including irritable bowel syndrome and diverticulitis, by reducing gastrointestinal motility.
D) Diarrhea:
Atropine can be used to treat diarrhea by slowing gastrointestinal motility and reducing gastrointestinal secretions. It is not contraindicated in clients with diarrhea.
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