The nurse is preparing to administer promethazine (Phenergan) to a client who presents with acute vomiting. What information in the client's past medical history would alert the nurse to hold the medication?

Diabetes Mellitus

Chronic Kidney Disease

Iron Deficiency Anemia

Narrow-Angle Glaucoma

Answer and Explanation

The Correct Answer is D

A. Diabetes Mellitus is not a contraindication for promethazine, although caution may be needed regarding metabolic control.
B. Chronic Kidney Disease does not specifically contraindicate the use of promethazine, but dosage adjustments may be necessary due to altered drug metabolism.
C. Iron Deficiency Anemia does not contraindicate the use of promethazine and would not raise significant concerns for its administration.
D. Narrow-Angle Glaucoma is a contraindication for promethazine due to its anticholinergic properties, which can increase intraocular pressure and worsen glaucoma.

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Correct Answer is A

Explanation

A. Estrogen blockers can increase the risk of thromboembolic events, including deep vein thrombosis and pulmonary embolism, which the nurse should caution the client about.
B. Tendon rupture is more commonly associated with certain antibiotics and corticosteroids, not typically with estrogen blockers.
C. Photosensitivity is not a common side effect associated with estrogen blockers; it is more related to specific antibiotics or other medications.
D. While some malignancies can be linked to immunosuppressive therapies, the direct risk of lymphomas is not typically associated with estrogen blockers.

A. Oral Decongestants B. Oxygen administration (as per providers order) C. Inhaled short-acting beta-2 agonists D. Inhaled Corticosteroids E. Expectorants

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

Rationale:

Oxygen administration: This is a critical intervention to improve oxygenation during an acute asthma exacerbation.
Inhaled short-acting beta-2 agonists: These medications rapidly relax the airway smooth muscle, reducing bronchoconstriction and improving airflow.
Inhaled Corticosteroids: These medications reduce inflammation in the airways, preventing further airway narrowing and improving lung function over time.
Oral Decongestants and Expectorants: These medications are not typically used in the acute management of asthma exacerbations. They can have side effects and may not be effective in improving airway function.

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The nurse is preparing to administer promethazine (Phenergan) to a client who presents with acute vomiting. What information in the client's past medical history would alert the nurse to hold the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering an estrogen blocker to a client diagnosed with advanced breast cancer. Which of the following side effects will the nurse caution the client regarding?

Correct Answer is A

Explanation

6 year-old in the emergency department. Exhibits A client presents to the healthcare setting experiencing an acute asthma exacerbation. Which of the following treatments below would the nurse anticipate giving to assist in reduction of symptoms?

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

The nurse is preparing to administer promethazine (Phenergan) to a client who presents with acute vomiting. What information in the client's past medical history would alert the nurse to hold the medication?

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