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Which medication is contraindicated in patients with a history of angioedema or patients with swelling on their lips?

A.

Losartan

B.

Atenolol

C.

Clopidogrel

D.

Lisinopril

Answer and Explanation

The Correct Answer is D

A. Losartan: Losartan is an angiotensin II receptor blocker (ARB). While ARBs can rarely cause angioedema, the risk is much lower compared to ACE inhibitors. They are often prescribed as alternatives when patients cannot tolerate ACE inhibitors due to angioedema.

B. Atenolol: Atenolol is a beta-blocker used for hypertension and cardiac conditions. It is not associated with angioedema and does not carry a contraindication for patients with this history.

C. Clopidogrel: Clopidogrel is an antiplatelet agent that prevents clot formation. It is not linked to angioedema and does not pose a contraindication for clients with prior swelling of the lips.

D. Lisinopril: Lisinopril is an ACE inhibitor, and this class of drugs is strongly associated with angioedema due to increased bradykinin levels. A history of angioedema or lip swelling is a clear contraindication to its use.


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Related Questions

Correct Answer is B

Explanation

A. Encourage coughing and deep breathing: This technique helps mobilize secretions and improve lung expansion but does not directly thin secretions. It is supportive for airway clearance, yet hydration is more effective for thinning mucus consistency.

B. Encourage the client to increase fluid intake: Adequate hydration helps liquefy and thin respiratory secretions, making them easier to expectorate. Increased fluid intake is a primary intervention for promoting secretion clearance in clients with pneumonia.

C. Encourage regular use of the incentive spirometer: Incentive spirometry supports lung expansion and prevents atelectasis but does not significantly impact secretion viscosity. It is important for respiratory health but not the best measure for thinning mucus.

D. Encourage the client to ambulate frequently: Ambulation improves ventilation and circulation, which aids overall recovery. However, it does not directly thin respiratory secretions, though it can complement hydration in promoting airway clearance.

Correct Answer is D

Explanation

A. MRSA can be effectively treated with an antiviral medication: MRSA is a bacterial infection caused by a strain of Staphylococcus aureus resistant to many antibiotics. Antivirals are ineffective against bacteria.

B. Place clients who have MRSA on airborne precautions: MRSA is primarily spread through direct contact and contaminated surfaces, not through airborne transmission. Therefore, contact precautions, including gown and gloves, are appropriate, not airborne isolation.

C. MRSA can live on the hands for 1 hr: MRSA can survive on hands and surfaces for much longer than one hour, sometimes for days. This timeframe may underestimate the risk of transmission and reduce vigilance in hand hygiene.

D. Bathe clients with water and chlorhexidine gluconate: Daily bathing with chlorhexidine reduces bacterial colonization on the skin and lowers the risk of MRSA transmission in healthcare settings.

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