Question

A nurse is reviewing the medication administration record of a client who has a history of Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications should the nurse identify as contraindicated for this client?

a) Acetaminophen
b) Ibuprofen
c) Ciprofloxacin
d) Trimethoprim

Answer 1

The nurse should identify Ibuprofen as contraindicated for this client due to their history of Stevens-Johnson syndrome.

Step-by-step explanation:

The nurse should identify Ibuprofen as contraindicated for this client.

Stevens-Johnson syndrome (SJS) is a severe allergic reaction that can be triggered by certain medications, including sulfamethoxazole-trimethoprim. SJS can cause a range of symptoms, including skin rash, fever, and blisters. Nonsteroidal anti-inflammatory drugs (NSAIDs) like Ibuprofen have been associated with SJS and should be avoided in patients with a history of the condition.

Acetaminophen, Ciprofloxacin, and Trimethoprim do not have the same association with Stevens-Johnson syndrome and would not be contraindicated for this client.