Contraindications to Drugs

Contraindications to Drugs ( 10 Questions)

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.



Correct Answer: A

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.




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