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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Massaging a DVT risks dislodging the clot, causing embolism. In postpartum with anticoagulants, this is contraindicated to prevent lethal complications.
Choice B reason: Bed rest minimizes clot movement in DVT, aiding anticoagulation postpartum. It reduces embolism risk, a critical safety measure in this scenario.
Choice C reason: Ice may reduce swelling, but it’s not standard for DVT with anticoagulants. Elevation and rest are prioritized over cold therapy here.
Choice D reason: Aspirin isn’t used with anticoagulants like heparin; it increases bleeding risk. Postpartum DVT needs specific pain management, not this drug.
Correct Answer is A
Explanation
Choice A reason: Steri-strips support incision healing post-laparoscopy, falling off naturally in 7-10 days. This shows correct understanding of wound care instructions.
Choice B reason: Prolonged nausea isn’t expected post-cholecystectomy; it’s minimal with laparoscopy. Persistent symptoms suggest complications, not normal recovery understanding.
Choice C reason: High-fat diets strain digestion post-gallbladder removal, causing discomfort. Low-fat is advised, so this reflects a recovery misconception.
Choice D reason: Diarrhea may occur briefly, but not until diet shifts. Expecting it long-term misinterprets bile adjustment, needing dietary clarification.
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