A nurse in a health clinic is assisting in the care of a client diagnosed with chlamydia. The client was prescribed azithromycin 1 g PO once. Which of the following allergy findings in the client's history should the nurse report to the provider?
Allergy to tetracyclines
Allergy to sulfonamides
Allergy to macrolides
Allergy to penicillins
The Correct Answer is C
Choice A reason: Tetracycline allergy doesn’t cross-react with azithromycin, a macrolide. They’re distinct classes, so this isn’t a concern for chlamydia treatment safety.
Choice B reason: Sulfonamide allergy is unrelated to azithromycin’s macrolide structure. No cross-sensitivity exists, making this irrelevant for reporting in this case.
Choice C reason: Azithromycin is a macrolide; allergy to this class risks anaphylaxis. Reporting ensures safe alternative prescribing for chlamydia, a critical safety step.
Choice D reason: Penicillin allergy doesn’t affect azithromycin use; they’re unrelated structurally. This doesn’t require reporting, as no cross-reaction occurs here.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Carrying the newborn to the nursery risks dropping due to postpartum fatigue or weakness. Scientifically, this increases injury potential, as maternal strength is compromised early postpartum, making it an unsafe practice compared to staff-assisted transport protocols.
Choice B reason: Requesting licenses is impractical and delays care; ID badges suffice for security. Scientifically, this overcomplicates verification, as hospitals use standardized identification, reducing abduction risk effectively without burdening staff or compromising timely newborn management.
Choice C reason: Missing ID bands threaten security, risking mix-ups or abduction. Alerting staff ensures immediate correction, aligning with scientific safety protocols, as dual identification (mother and baby) is critical postpartum to prevent errors or unauthorized removal in healthcare settings.
Choice D reason: Leaving the newborn unattended in the bassinet risks theft or falls, especially in an unsecured room. Scientifically, constant supervision or staff notification is safer, as postpartum units prioritize vigilance to protect vulnerable infants from preventable harm.
Correct Answer is D
Explanation
Choice A reason: A primary care provider focuses on medical care, not financial aid coordination. Scientifically, they diagnose and treat, lacking the resource linkage role needed for formula access, making this less effective for socioeconomic support postpartum.
Choice B reason: A nutritionist advises on diet, not funding solutions for formula. Scientifically, their expertise is nutritional planning, not social services, misaligning with the client’s economic barrier, requiring broader assistance beyond dietary guidance.
Choice C reason: A pediatric nurse practitioner manages child health, not financial resources. Scientifically, their scope is clinical, not case coordination, making them less equipped to address affordability compared to a role focused on systemic support.
Choice D reason: A case manager connects clients to resources like WIC for formula, addressing financial need. Scientifically, this role bridges socioeconomic gaps, aligning with evidence-based interprofessional care to ensure infant nutrition via community programs.
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