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

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A reason: Increased caloric intake contradicts methylphenidate’s appetite-suppressant effect, a stimulant for ADHD. It boosts dopamine and norepinephrine, enhancing focus, not hunger. This suggests ineffectiveness or misreporting, as the drug typically reduces eating, misaligning with its pharmacological action on behavior.

Choice B reason: A better grasp of reality is vague and unrelated to ADHD or methylphenidate’s core effects. The drug improves attention and impulse control, not perception of reality, which is more relevant to psychosis. This does not indicate efficacy for ADHD scientifically.

Choice C reason: Weight loss is a common side effect of methylphenidate due to appetite suppression, not a direct efficacy marker. While it may occur, it does not confirm improved ADHD symptoms like focus, making it secondary to the drug’s therapeutic goal in treatment.

Choice D reason: Completing homework on time reflects improved focus and impulse control, methylphenidate’s primary goals in ADHD. By increasing dopamine in the prefrontal cortex, it enhances executive function, enabling task completion, a direct measure of efficacy per scientific intent.

A. Brewed green tea B. Cola soft drink C. Hot cocoa D. Instant coffee

Correct Answer is C

Explanation

Choice A reason: Brewed green tea has 25-40 mg caffeine per 8 oz, from tea leaves’ natural stimulants. It exceeds cocoa, making it a higher-caffeine choice.

Choice B reason: Cola soft drinks contain 30-50 mg caffeine per 8 oz, added artificially. This surpasses cocoa’s level, placing it higher in caffeine content.

Choice C reason: Hot cocoa has 5-15 mg caffeine per 8 oz, naturally low from cocoa beans. It’s the least caffeinated option among these beverages.

Choice D reason: Instant coffee delivers 60-100 mg caffeine per 8 oz, concentrated from coffee grounds. It’s far higher than cocoa, unsuitable for reduction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the parents of a child who has ADHD and is taking methylphenidate. Which of the following statements by the parents indicates that the medication is effective?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client about reducing dietary caffeine intake. The nurse should remind the client that 240 mL (8 oz) of which of the following beverages contains the least amount of caffeine?

Correct Answer is C

Explanation

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