A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

Prior episode of kidney stones

Taking levothyroxine orally

Has a systemic fungal infection

History of asthma

Answer and Explanation

The Correct Answer is C

A.   Prior episode of kidney stones: A history of kidney stones is not a contraindication to prednisone therapy. However, it may require monitoring due to potential fluid and electrolyte imbalances associated with corticosteroid use.
B.   Taking levothyroxine orally: Taking levothyroxine orally is not a contraindication to prednisone therapy. However, concurrent use of corticosteroids and levothyroxine may require dosage adjustments of both medications due to potential interactions.
C.   Has a systemic fungal infection: Corticosteroids like prednisone can suppress the immune system, increasing the risk of fungal infections and worsening existing fungal infections.
Therefore, the presence of a systemic fungal infection is a contraindication to corticosteroid therapy.
D.   History of asthma: Asthma is not a contraindication to prednisone therapy. In fact, prednisone is commonly used as a treatment for asthma exacerbations. However, caution may be needed in individuals with asthma to avoid exacerbating symptoms or complications.

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Correct Answer is B

Explanation

A. Respiratory rate: While propranolol can potentially affect respiratory function in individuals with certain respiratory conditions, such as asthma, assessing the respiratory rate is not typically a priority assessment before administering propranolol.
B. HR rate: Propranolol is a beta-blocker that primarily affects heart rate and blood pressure.

Therefore, assessing the heart rate (HR) is crucial prior to administering propranolol, as it can cause bradycardia and heart block.
C. Pain level: Propranolol is not typically associated with pain modulation or analgesic effects.

Assessing pain level may be relevant for other medications or conditions but is not specifically related to propranolol administration.
D. Temperature: Propranolol does not typically affect body temperature, and assessing temperature is not typically necessary before administering propranolol.

A. Hypotension B. Bradycardia C. Polyuria D. Nausea

Correct Answer is A

Explanation

A. Hypotension can occur as part of an allergic reaction to ceftriaxone, indicating a severe systemic response.
B. Bradycardia is not typically associated with an allergic reaction to ceftriaxone.

C. Polyuria is excessive urination and is not a common manifestation of an allergic reaction to ceftriaxone.
D. Nausea can occur with ceftriaxone administration but is not specific to an allergic reaction.

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A nurse is reviewing the medical history of a client who is to start taking prednisone. Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

Correct Answer is A

Explanation

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