A client diagnosed with glaucoma receives a new prescription for dorzolamide. Prior to administering the medication, the nurse should review the electronic medical record for which allergy?
lodine.
Latex.
Penicillin.
Sulfonamide.
The Correct Answer is D
A. Iodine: An iodine allergy is more relevant for clients receiving contrast media or iodine-based antiseptics, not dorzolamide. Dorzolamide is a carbonic anhydrase inhibitor, and its risk profile is not associated with iodine sensitivity.
B. Latex: Latex allergy is an important consideration in nursing care, particularly regarding equipment and supply use. However, dorzolamide as an ophthalmic preparation does not contain latex, so this allergy does not directly influence the safety of administering the drug.
C. Penicillin: Penicillin allergy is significant for antibiotics, but dorzolamide is not a beta-lactam or related medication. There is no cross-reactivity between penicillin and carbonic anhydrase inhibitors, making this allergy less concerning for this prescription.
D. Sulfonamide: Dorzolamide contains a sulfonamide component, and clients with a sulfonamide allergy are at risk for hypersensitivity reactions such as rash, conjunctivitis, or even systemic effects. Reviewing the medical record for a sulfonamide allergy is essential before administration to prevent serious complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,C,B,D
Explanation
A. Obtain blood glucose level: The first step is to check the client’s blood glucose so the correct insulin dose can be determined according to the sliding scale prescription. Without this value, safe and accurate dosing cannot be achieved.
B. Draw insulin into insulin syringe: After verifying the prescription, the correct amount of insulin is drawn up. This ensures accuracy and avoids delays once the injection site has been prepared, maintaining sterility and efficiency.
C. Verify the insulin prescription: Before drawing up the insulin, the nurse or client must compare the blood glucose result with the sliding scale prescription to determine the exact dose required. This prevents medication errors and ensures correct administration.
D. Cleanse the selected site: The last step before injection is cleansing the skin with an alcohol swab. This minimizes infection risk and prepares the area for insulin administration after the correct dose has been measured.
Correct Answer is C
Explanation
A. Absent sounds: Absent bowel sounds are abnormal and may indicate an ileus, obstruction, or decreased intestinal motility, requiring further assessment.
B. Pain: Pain elicited during percussion is not a normal finding and may indicate underlying pathology such as inflammation, infection, or organ enlargement.
C. Musical and drumlike: Tympany, which produces a musical, drumlike sound during percussion, is a normal finding over air-filled structures in the abdomen. It indicates the presence of gas in the stomach and intestines, reflecting normal gastrointestinal function.
D. Tenderness: Tenderness on percussion is abnormal and may suggest inflammation, infection, or other abdominal pathology requiring further evaluation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.