A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?

Lithium carbonate

Albuterol

Levothyroxine

Cetirizine

Answer and Explanation

The Correct Answer is A

A.   Furosemide can decrease the renal clearance of lithium, leading to increased lithium levels in the blood. This can potentiate the toxic effects of lithium, such as neurotoxicity and cardiac toxicity. Therefore, concurrent use of furosemide and lithium is generally contraindicated, and caution is advised. The nurse should identify lithium carbonate as contraindicated in this scenario.
B.   Albuterol is a bronchodilator commonly used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). There are no significant contraindications between albuterol and furosemide.
C.   Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. There are no significant contraindications between levothyroxine and furosemide.
D.   Cetirizine is an antihistamine used to treat allergies and allergic reactions. There are no significant contraindications between cetirizine and furosemide. They are generally considered safe to use together.

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Correct Answer is D

Explanation

D. Prednisone can suppress the immune system, making individuals more susceptible to infections. Sore throat can be a sign of an infection, and it's important for clients taking prednisone to report any signs of infection, including sore throat, to their healthcare provider promptly.
A. Prednisone can cause sodium retention and fluid retention, leading to increased blood pressure and other complications. Therefore, clients taking prednisone should generally aim to limit their sodium intake rather than increase it.
B. Prednisone is typically taken with food or milk to help minimize gastrointestinal irritation. Taking prednisone on an empty stomach may increase the risk of gastrointestinal side effects such as stomach upset or ulcers.
C. Weight gain, rather than weight loss, is a common side effect of prednisone. Prednisone can cause fluid retention, increased appetite, and redistribution of body fat, leading to weight gain.
Clients should be advised to watch for signs of weight gain and discuss any significant changes with their healthcare provider.

A. A school-age child who has rhinitis B. A client who is at 27 weeks of gestation C. An adolescent who received a new tattoo last week D. A client who is about to travel to a different country

Correct Answer is B

Explanation

B. Pregnant individuals should not receive the LAIV. It is recommended that pregnant individuals receive the inactivated influenza vaccine (IIV) instead. Therefore, this client has a contraindication to receiving the LAIV.
A. Rhinitis, or inflammation of the nasal passages, is not a contraindication to receiving the LAIV. In fact, LAIV may be preferred over the inactivated influenza vaccine (IIV) for individuals without contraindications between the ages of 2 and 49 years.
C. Recent receipt of a tattoo is not a contraindication to receiving the LAIV. While LAIV should generally not be administered to individuals with compromised immune systems, recent tattooing is not considered a contraindication.
D. Traveling to a different country is not a contraindication to receiving the LAIV. However, individuals with certain medical conditions or who are immunocompromised should not receive the LAIV.

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A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?

Correct Answer is D

Explanation

A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?

Correct Answer is B

Explanation

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