A nurse is preparing to administer ketorolac to a client. Which of the following conditions should the nurse include as a contraindication for taking this medication?

History of gastrointestinal bleeding

Liver impairment

Allergy to codeine

History of glaucoma

Answer and Explanation

The Correct Answer is A

A. History of gastrointestinal bleeding: Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can inhibit prostaglandin synthesis, increasing the risk of gastrointestinal bleeding or ulceration. A history of GI bleeding is a contraindication due to the heightened risk of serious complications.

B. Liver impairment: While caution is warranted, mild to moderate liver impairment is not an absolute contraindication. Liver function should be monitored, but it does not automatically prevent ketorolac use.

C. Allergy to codeine: Ketorolac is not an opioid and does not contain codeine. An allergy to codeine does not contraindicate its administration.

D. History of glaucoma: Ketorolac does not typically affect intraocular pressure or exacerbate glaucoma. It is not contraindicated in clients with this condition.

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Correct Answer is B

Explanation

A. Nitroglycerin: Nitroglycerin is a vasodilator used to treat angina and does not have known interactions with vancomycin. Concurrent use does not increase the risk of vancomycin toxicity or adverse effects.

B. Furosemide: Furosemide is a loop diuretic that can be nephrotoxic and ototoxic, similar to vancomycin. Using both medications concurrently increases the risk of kidney damage and hearing loss, requiring careful monitoring of renal function and auditory status.

C. Calcium chloride: Calcium chloride is used for hypocalcemia and cardiac stabilization but does not interact directly with vancomycin. No enhanced toxicity or adverse reaction is expected when these drugs are administered together.

D. Morphine: Morphine is an opioid analgesic with no direct interaction with vancomycin. While both drugs may depress the central nervous system in different ways, morphine does not increase the risk of vancomycin-related nephrotoxicity or ototoxicity.

A. Losartan B. Misoprostol C. Moexipril D. Mesalamine E. Metformin F. Liraglutide

Correct Answer is ["A","C","E","F"]

Explanation

Rationale for Correct Choices:

Losartan: Losartan is an angiotensin II receptor blocker (ARB) used to lower blood pressure by relaxing blood vessels and reducing vascular resistance which is especially important for clients with high blood pressure.
Moexipril: Moexipril is an angiotensin-converting enzyme (ACE) inhibitor that reduces blood pressure by blocking the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor.
Metformin: Metformin is a first-line oral medication for type 2 diabetes. It decreases hepatic glucose production and improves insulin sensitivity in peripheral tissues. It is commonly prescribed for elevated fasting blood glucose and HbA1c.
Liraglutide: Liraglutide is a GLP-1 receptor agonist that enhances glucose-dependent insulin secretion, slows gastric emptying, and promotes satiety. It is used to improve glycemic control and can aid in weight management in type 2 diabetes.

Rationale for Incorrect Choices:

Misoprostol: Misoprostol is a prostaglandin analog primarily used to prevent gastric ulcers in patients taking NSAIDs and to induce labor in obstetrics. It does not have a role in blood pressure management.
Mesalamine: Mesalamine is used to treat inflammatory bowel disease, such as ulcerative colitis or Crohn’s disease, and has no effect on blood glucose levels.

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A nurse is preparing to administer ketorolac to a client. Which of the following conditions should the nurse include as a contraindication for taking this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer vancomycin IV to a client. Which of the following medications may interact with vancomycin?

Correct Answer is B

Explanation

Correct Answer is ["A","C","E","F"]

Explanation

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