A patient is prescribed oral prednisone for an exacerbation of an autoimmune disease.
Which finding in the patient’s past medical history would contraindicate the use of prednisone?
Tuberculous meningitis
Chronic obstructive pulmonary disease
Cerebral edema
Peptic ulcer disease
The Correct Answer is D
Choice A rationale
Tuberculous meningitis is a serious condition, but it is not a contraindication for the use of prednisone.
Choice B rationale
Chronic obstructive pulmonary disease (COPD) is not a contraindication for prednisone. In fact, prednisone is often used to treat exacerbations of COPD56.
Choice C rationale
Cerebral edema is not a contraindication for prednisone. Prednisone is sometimes used to reduce inflammation and swelling in the brain.
Choice D rationale
Peptic ulcer disease is a contraindication for the use of prednisone. Prednisone can increase the risk of peptic ulcers by increasing stomach acid secretion and decreasing the production of protective mucus in the stomach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Caffeine can cause symptoms such as rapid heart rate and headaches, but it does not interact with metronidazole to cause these symptoms.
Choice B rationale
Tobacco can cause a rapid heart rate, but it does not interact with metronidazole to cause these symptoms.
Choice C rationale
Alcohol interacts with metronidazole and can cause symptoms such as rapid heart rate, severe headache, and light-headedness.
Choice D rationale
Marijuana can cause a rapid heart rate and light-headedness, but it does not interact with metronidazole to cause these symptoms.
Correct Answer is C
Explanation
Choice A rationale
While aromatherapy sprays can provide a calming environment, there is limited evidence to suggest that they can effectively reduce chemotherapy-induced nausea and vomiting.
Choice B rationale
Physical activity like a brisk walk outside can be beneficial for overall health, but it may not directly help in reducing nausea and vomiting caused by chemotherapy.
Choice C rationale
Avoiding well-seasoned, spicy, and fatty foods can help reduce nausea and vomiting during chemotherapy. These types of foods can irritate the stomach and make nausea worse.
Choice D rationale
Drinking a warm glass of milk may not be helpful in reducing chemotherapy-induced nausea and vomiting. In fact, dairy products can sometimes exacerbate nausea.
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