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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?

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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A. "I've heard that this drug is particularly good at preventing asthma attacks during exercise." B. "I know that these drugs can sometimes make my heart beat faster." C. "I'll make sure to use this each time I feel an asthma attack coming on." D. "I've heard that this drug sometimes gets less effective over time."

Correct Answer is C

Explanation

A. LABAs can help prevent asthma attacks, including those triggered by exercise, so this statement is accurate and does not indicate a need for further education.

B. LABAs may cause side effects like an increased heart rate, which the client correctly recognizes.

C. LABAs are not intended for immediate relief of asthma symptoms; they are for long-term control. A short-acting beta2-agonist (SABA) should be used for acute symptoms, indicating this client needs further education.

D. Over time, tolerance can develop with some medications, and this understanding is accurate, so it does not indicate a need for additional teaching.

A. The client's blood pressure is within the expected reference range. B. The client reports a recent weight gain. C. The client reports an increase in mood. D. The client's legs are not swollen.

Correct Answer is C

Explanation

A. While maintaining blood pressure within the expected range is important, it does not specifically indicate the effectiveness of sertraline, which is an antidepressant.

B. Weight gain can occur with some antidepressants, but it is not a direct indicator of their effectiveness.

C. An increase in mood is a primary goal of treatment with sertraline, and reporting this improvement suggests that the medication is having a positive effect.

D. The absence of swollen legs is not a relevant indicator for assessing the effectiveness of sertraline, as it does not relate to mood or depression symptoms.

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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?

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Correct Answer is C

Explanation

Correct Answer is C

Explanation

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Take full exam for free 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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Correct Answer is C

Explanation

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Correct Answer is C

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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?