Difficulty: Medium
Average Score: 92%
Simulated
The nurse is assessing a patient for contraindications to drug therapy with acetaminophen. Which patient should not receive acetaminophen?
Correct answer
B
Rationale
The correct answer is B: A patient with a history of liver disease. Acetaminophen is metabolized in the liver, and in patients with liver disease, the metabolism of acetaminophen may be impaired, leading to potential toxicity. Patients with liver disease are at increased risk of hepatotoxicity from acetaminophen.
A: A patient with a history of peptic ulcer disease - This is not a contraindication for acetaminophen as it does not directly affect the gastrointestinal system.
C: A patient who is complaining of a mild headache - Mild headache is not a contraindication to acetaminophen. It is commonly used for this purpose.
D: A patient with a fever of 101┬░F (38.3┬░C) - Fever is an indication for acetaminophen use, not a contraindication.
In summary, patients with liver disease should not receive acetaminophen due to the risk of hepatotoxicity.
A: A patient with a history of peptic ulcer disease - This is not a contraindication for acetaminophen as it does not directly affect the gastrointestinal system.
C: A patient who is complaining of a mild headache - Mild headache is not a contraindication to acetaminophen. It is commonly used for this purpose.
D: A patient with a fever of 101┬░F (38.3┬░C) - Fever is an indication for acetaminophen use, not a contraindication.
In summary, patients with liver disease should not receive acetaminophen due to the risk of hepatotoxicity.