A nurse is caring for a client who has a sulfonamide allergy. Which of the following medications should the nurse identify as contraindicated?

Famotidine

Aspirin

Metronidazole

Glyburide

Answer and Explanation

The Correct Answer is D

A. Famotidine is an H2 receptor antagonist used to treat conditions like ulcers and gastroesophageal reflux disease (GERD). It does not contain sulfonamide and is generally safe for patients with sulfonamide allergies.
B. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief, fever reduction, and anti-inflammatory purposes. It does not contain sulfonamide and is not contraindicated for patients with sulfonamide allergies.
C. Metronidazole is an antibiotic used to treat various infections, including those of the gastrointestinal tract and the reproductive system. It does not contain sulfonamide and is safe for patients with sulfonamide allergies.
D. Glyburide is a sulfonylurea used to treat type 2 diabetes by increasing insulin production in the pancreas. It contains sulfonamide and can cause allergic reactions in patients with sulfonamide allergies, making it contraindicated.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Monitor the client’s thyroid function levels is not relevant to the administration of metformin, as metformin does not affect thyroid function.
B. Collect the client’s uric acid level is not necessary in this context, as metformin does not typically impact uric acid levels.
C. Obtain the client’s HDL level is not relevant to the administration of metformin, as metformin does not directly affect HDL levels.
D. Check the client’s glucose level is the most appropriate action, as metformin is an antidiabetic medication that lowers blood glucose levels. Monitoring the client’s glucose level will help assess the impact of the incorrect medication administration and guide further treatment.

A. Massage the injection site after administering the medication. B. Administer the medication into the anterolateral or posterolateral abdominal area. C. Hold the skin taut at the injection site while administering the medication. D. Expel the air bubble from the syringe prior to administering the medication.

Correct Answer is B

Explanation

A. Massage the injection site after administering the medication. This action is incorrect because massaging the injection site after administering enoxaparin can cause bruising and should be avoided.
B. Administer the medication into the anterolateral or posterolateral abdominal area. This action is correct. Enoxaparin should be administered subcutaneously into the anterolateral or posterolateral abdominal area to ensure proper absorption and minimize complications.
C. Hold the skin taut at the injection site while administering the medication. This action is incorrect. The correct technique involves pinching a fold of skin to create a subcutaneous pocket for the injection, rather than holding the skin taut.
D. Expel the air bubble from the syringe prior to administering the medication. This action is incorrect. The air bubble in prefilled enoxaparin syringes should not be expelled before administration, as it helps to ensure the full dose is delivered and reduces the risk of bruising.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has a sulfonamide allergy. Which of the following medications should the nurse identify as contraindicated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse accidentally administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new prescription for nitroglycerin sublingual tablets for treating angina. Which of the following instructions should the nurse include in the teaching?

A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?

A nurse is caring for a client who develops an anaphylactic reaction to antibiotic administration. After assessing the client’s respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?

A nurse is reviewing a client’s medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?

A nurse is caring for a client who has a sulfonamide allergy. Which of the following medications should the nurse identify as contraindicated?

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneously to a client who weighs 143 lbs. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

A nurse administers 2 mg of morphine out of a vial containing 4 mg. Which of the following actions should the nurse take with the remaining medication in the vial?