Pharmacology:Adverse Effects & Contraindications

A nurse is preparing to administer a medication the nurse has never administered previosuly.

Which of the following information should the nurse identify as a contraindication to administering the medication?

(Select alll the apply)

• Decreased heart rate is an adverse effect of the medication

• The client is allergic to a component of the medication

• The client is five years younger that the age requirement for the medication

• The client's kidney function test indicated a need for a doseage reduction

• The client will need additional monitoring of liver function if the medication is administered long-term

Answer explanation

A potential adverse effect is not a contraindication

extra laboratory monitoring indicates a need to administer a medication with caution

Renal issues require administering a medication with extra caution and observig for indicators of renal impairment

A nurse is prpearing to administer an IM dose of penicillin to a client who has a new precription. The client states when they took penicillin 3 years ago, they developed a rash.

Which of the following actions should the nurse take?

• Administer the prescribed dose

• Withold the medication

• Ask the provider to change the prescription to an oral form

• Administer an oral antihistamine at the same time

A nurse is comparing a newly prescribed medication to a client's current medications.

Which of the following interactions should the nurse identify as increasing the risk of medication toxicity?

• One of the client's current medications minimizes the adverse effects of the new medication

• The new medication increases effectiveness of one of the clients current medications

• One of the client's current medications has a similar adverse side effect as the new medication

• The new medication decreases the rate of metabolism of another medication

Answer explanation

Improved therapeutic effectiveness is a beneficial medication interaction

Whenever metabolism of a medication is reduced , it remains active in the body for longer periods or at higher levels

A nuse is reviewing a client's health record and notes that the client experienced permanent extrapyramidal symptoms (EPS) caused by a previous medication. The nurse should recognize that the medication affected which of the following body system in the client ?

• Cardiovascular

• Immune

• Central Nervous

• Gastrointestinal

A nurse is caring for a client who is experiencing anaphylaxis.

Which of the following medications should the nurse expect to administer ?

• Angiotensin-converting enzyme

  (ACE ) inhibitors

• Naloxone

• Antihistanines

• anticholinergics