The nurse is preparing to administer beclomethasone (Beconase) to several clients. For which client would the nurse hold the drug and contact the physician?
1. The client who has had a myocardial infarction (MI)
2. The client who has methicillin resistant Staphylococcus aureus (MRSA)
3. The client who has diabetes mellitus
4. The client who has terminal cancer
2
Rationale 1: Beclomethasone (Beconase) is not contraindicated in clients who have had a myocardial infarction.
Rationale 2: Glucocorticoids can mask the signs of infection and are contraindicated if active infection is present.
Rationale 3: Beclomethasone (Beconase) is not contraindicated in clients who have diabetes mellitus.
Rationale 4: Beclomethasone (Beconase) is not contraindicated in clients who have terminal cancer.
Global Rationale: Glucocorticoids can mask the signs of infection and are contraindicated if active infection is present. Beclomethasone (Beconase) is not contraindicated in clients who have had a myocardial infarction, diabetes mellitus, or terminal cancer.
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