The nurse provides care for several patients. For which patient would the nurse assess acetaminophen (Tylenol) to be contraindicated?
1. A 2-year-old with a high fever due to the flu
2. A 65-year-old with osteoarthritis
3. A 19-year-old with a bladder infection
4. A 55-year old who socially drinks alcohol
Correct Answer: 4
Rationale: Acetaminophen (Tylenol) is hepatotoxic, and may cause problems in patients who consume alcohol. Acetaminophen (Tylenol) would be the drug of choice for a child with the flu. Acetaminophen (Tylenol) would not be contraindicated with osteoarthritis, but aspirin would be more effective. There isn't any association between the use of acetaminophen (Tylenol) and a bladder infection.
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