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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Atenolol is a beta-blocker used to treat hypertension and lower heart rate. Given the client's low heart rate of 54 beats per minute (bradycardia), there is a potential concern about further lowering the heart rate with atenolol. Therefore, the nurse should consider withholding atenolol and consulting with the healthcare provider regarding the low heart rate before administering the medication.
A. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension.
B. Hydrochlorothiazide is a diuretic commonly used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension. Therefore, there is no immediate need to withhold hydrochlorothiazide based on the current blood pressure reading.
C. Aspirin is commonly used for cardiovascular protection in clients with hypertension. It is not typically withheld based on blood pressure readings alone unless there are other contraindications or concerns.
Correct Answer is ["1.2"]
Explanation
Toddler's weight: 26.4 lb
1 lb = 0.453592 kg (conversion factor)
Weight in kilograms = 26.4 lb × 0.453592 kg/lb ≈ 11.979 kg
Calculate the total dosage based on the toddler's weight:
Total dosage = 10 mg/kg × 11.979 kg
≈ 119.79 mg
Determine the volume of acetaminophen solution needed based on the concentration provided: Available concentration: 80 mg/0.8 mL
Dosage required: 119.79 mgUsing the formula:
Volume (mL) = Dosage required (mg) / Concentration (mg/mL)
= 119.79 mg / 80 mg/0.8 mL
≈ 1.2 mL
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