Drug Interactions > Pharmacology
Exam Review
Contraindications to Drugs
Total Questions : 10
Showing 10 questions, Sign in for moreA nurse is reviewing a client’s medication regimen and notes that the client has a history of liver disease. The nurse should recognize which of the following medications is contraindicated for this client.
Explanation
Acetaminophen is contraindicated in clients with liver disease because it is metabolized by the liver and can cause liver toxicity.
a. Acetaminophen is contraindicated in clients with liver disease because it can cause liver toxicity.
b. Ibuprofen is not contraindicated in clients with liver disease, although it should be used with caution because it can cause liver toxicity in high doses.
c. Aspirin is not contraindicated in clients with liver disease, although it should be used with caution because it can cause liver toxicity in high doses.
d. Naproxen is not contraindicated in clients with liver disease, although it should be used with caution because it can cause liver toxicity in high doses.
A nurse is reviewing a client’s medication regimen and notes that the client has a history of renal impairment. The nurse should recognize which of the following medications is contraindicated for this client.
Explanation
Metformin is contraindicated in clients with renal impairment because it is eliminated by the kidneys and can accumulate to toxic levels if renal function is impaired.
a. Metformin is contraindicated in clients with renal impairment because it can accumulate to toxic levels if renal function is impaired.
b. Glipizide is not contraindicated in clients with renal impairment, although it should be used with caution because it can cause hypoglycemia if renal function is impaired.
c. Glyburide is not contraindicated in clients with renal impairment, although it should be used with caution because it can cause hypoglycemia if renal function is impaired.
d. Pioglitazone is not contraindicated in clients with renal impairment, although it should be used with caution because it can cause fluid retention if renal function is impaired.
A patient has been prescribed a drug that interacts with alcohol.What should they avoid?
Explanation
Wine contains alcohol and should be avoided when taking drugs that interact with alcohol.
a. Wine contains alcohol and should be avoided when taking drugs that interact with alcohol.
b. Bananas do not contain alcohol and do not need to be avoided when taking drugs that interact with alcohol.
c. Oranges do not contain alcohol and do not need to be avoided when taking drugs that interact with alcohol.
d. Apples do not contain alcohol and do not need to be avoided when taking drugs that interact with alcohol.
A patient has been prescribed a drug that interacts with caffeine. What should they avoid?
Explanation
Coffee is high in caffeine and should be avoided when taking drugs that interact with caffeine.
a. Coffee is high in caffeine and should be avoided when taking drugs that interact with caffeine.
b. Bananas are not high in caffeine and do not need to be avoided when taking drugs that interact with caffeine.
c. Oranges are not high in caffeine and do not need to be avoided when taking drugs that interact with caffeine.
d. Apples are not high in caffeine and do not need to be avoided when taking drugs that interact with caffeine.
A patient has been prescribed a drug that interacts with sodium. What should they avoid?
Explanation
Salt is high in sodium and should be avoided when taking drugs that interact with sodium.
a. Salt is high in sodium and should be avoided when taking drugs that interact with sodium.
b. Bananas are not high in sodium and do not need to be avoided when taking drugs that interact with sodium.
c. Oranges are not high in sodium and do not need to be avoided when taking drugs that interact with sodium.
d. Apples are not high in sodium and do not need to be avoided when taking drugs that interact with sodium.
A patient has been prescribed a drug that interacts with iron. What should they avoid?
Explanation
Red meat is high in iron and should be avoided when taking drugs that interact with iron.
a. Red meat is high in iron and should be avoided when taking drugs that interact with iron.
b. Bananas are not high in iron and do not need to be avoided when taking drugs that interact with iron.
c. Oranges are not high in iron and do not need to be avoided when taking drugs that interact with iron.
d. Apples are not high in iron and do not need to be avoided when taking drugs that interact with iron.
A patient has been prescribed a drug that interacts with vitamin C. What should they avoid?
Explanation
Oranges are high in vitamin C and should be avoided when taking drugs that interact with vitamin C.
a. Oranges are high in vitamin C and should be avoided when taking drugs that interact with vitamin C.
b. Bananas are not high in vitamin C and do not need to be avoided when taking drugs that interact with vitamin C.
c. Milk is not high in vitamin C and does not need to be avoided when taking drugs that interact with vitamin C.
d. Apples are not high in vitamin C and do not need to be avoided when taking drugs that interact with vitamin C.
A nurse is reviewing a client’s medication regimen and notes that the client has a history of peptic ulcer disease. The nurse should recognize which of the following medications is contraindicated for this client.
Explanation
Ibuprofen is contraindicated in clients with peptic ulcer disease because it can irritate the stomach lining and exacerbate the condition.
a. Ibuprofen is contraindicated in clients with peptic ulcer disease because it can irritate the stomach lining and exacerbate the condition.
b. Acetaminophen is not contraindicated in clients with peptic ulcer disease because it does not irritate the stomach lining.
c. Aspirin is contraindicated in clients with peptic ulcer disease because it can irritate the stomach lining and exacerbate the condition.
d. Naproxen is contraindicated in clients with peptic ulcer disease because it can irritate the stomach lining and exacerbate the condition.
A nurse is reviewing a client’s medication regimen and notes that the client has a history of heart failure. The nurse should recognize which of the following medications is contraindicated for this client.
Explanation
Pioglitazone is contraindicated in clients with heart failure because it can cause fluid retention, which can exacerbate heart failure.
a. Metoprolol is not contraindicated in clients with heart failure, although it should be used with caution because it can decrease cardiac output.
b. Lisinopril is not contraindicated in clients with heart failure, although it should be used with caution because it can cause hypotension.
c. Furosemide is not contraindicated in clients with heart failure, although it should be used with caution because it can cause electrolyte imbalances.
d. Pioglitazone is contraindicated in clients with heart failure because it can cause fluid retention, which can exacerbate heart failure.
A patient has been prescribed a drug that interacts with potassium. What should they avoid?
Explanation
Bananas are high in potassium and should be avoided when taking drugs that interact with potassium.
a. Bananas are high in potassium and should be avoided when taking drugs that interact with potassium.
b. Salt is not high in potassium and does not need to be avoided when taking drugs that interact with potassium.
c. Oranges are not high in potassium and do not need to be avoided when taking drugs that interact with potassium.
d. Apples are not high in potassium and do not need to be avoided when taking drugs that interact with potassium.
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