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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “Call 911 if pain persists 30 minutes after taking one tablet” is incorrect. The client should call 911 if chest pain persists after taking three doses of nitroglycerin at 5-minute intervals, not 30 minutes.
B. “Take a tablet every 10 minutes until the pain subsides” is incorrect. The correct instruction is to take one tablet every 5 minutes, up to three tablets, and seek emergency help if the pain does not subside.
C. “Place the tablet under the tongue until dissolved” is correct. Sublingual nitroglycerin should be placed under the tongue to dissolve, allowing for rapid absorption and relief of angina.
D. “Store the tablets in a refrigerator in a plastic container” is incorrect. Nitroglycerin tablets should be stored at room temperature in their original glass container to maintain potency.
Correct Answer is B
Explanation
A. “You should not feel anything more than a minor sting from the injection.” This response is incorrect because it dismisses the client’s fear without addressing their concerns or providing alternative solutions.
B. “I will discuss other treatment options with your provider.” This response is correct because it acknowledges the client’s fear and offers to explore alternative treatments, which can help build trust and ensure the client receives appropriate care.
C. “You must take this medication because there is no other option to treat this infection.” This response is incorrect because it is coercive and does not respect the client’s autonomy or address their fear of needles.
D. “Refusing the injection means you will not get better.” This response is incorrect because it is threatening and does not provide support or alternatives for the client.
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