A nurse is caring for a client who has an allergy to penicillin. The health care provider has prescribed amoxicillin. Which of the following actions should the nurse take?

Discuss the prescription with the health care provider.

Administer the medication as prescribed.

Place an incident report in the medical record.

Call the pharmacist for clarification of the medication contraindications.

Answer and Explanation

The Correct Answer is A

Choice A reason: Discussing the prescription with the provider is critical, as amoxicillin, a penicillin derivative, is contraindicated in clients with penicillin allergies due to risk of anaphylaxis. This ensures patient safety by verifying or correcting the order, aligning with nursing advocacy and safety protocols, making it correct.
Choice B reason: Administering amoxicillin to a client with a penicillin allergy risks severe allergic reactions, including anaphylaxis, violating patient safety principles. Nurses must verify contraindicated orders before administration, making this action dangerous and incorrect in this scenario.
Choice C reason: Placing an incident report is premature, as no error has occurred yet. The nurse’s role is to prevent harm by addressing the contraindicated prescription proactively. This action does not resolve the issue and is inappropriate as the first step, making it incorrect.
Choice D reason: Calling the pharmacist for clarification is less direct than discussing with the provider, who issued the order. While pharmacists can provide guidance, the provider must confirm or change the prescription to ensure safety, making this action secondary and less effective.

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Correct Answer is B

Explanation

Choice A reason: Washing hands for 10 seconds with hot water is insufficient; at least 20 seconds with soap and warm water is recommended to remove pathogens post-gardening. Hot water alone is ineffective, so this statement reflects incomplete understanding, making it incorrect.
Choice B reason: Visiting a nephew with chickenpox 5 days after sores crust indicates understanding, as the virus is no longer contagious then. This aligns with CDC guidelines for varicella, protecting the pregnant client and fetus, making it the correct statement.
Choice C reason: Cleaning a cat’s litter box during pregnancy risks toxoplasmosis, which can harm the fetus. Pregnant women should avoid this task, so this statement shows a lack of understanding, making it incorrect for infection prevention.
Choice D reason: Avoiding anyone with a cold sore is overly restrictive, as herpes simplex transmission requires direct contact. General avoidance without context reflects misunderstanding, as precautions like avoiding kissing suffice, making this incorrect.

A. Maternal fever B. Chorioamnionitis C. Maternal hypoglycemia D. Fetal anemia

Correct Answer is D

Explanation

Choice A reason: Maternal fever may cause fetal tachycardia, not bradycardia, as it increases metabolic demand. While fever can indicate infection, it does not directly lower FHR to 100/min, making it an incorrect cause for sustained fetal bradycardia in this scenario.
Choice B reason: Chorioamnionitis, an intrauterine infection, typically causes fetal tachycardia due to stress and inflammation, not bradycardia. While serious, it does not align with a sustained FHR of 100/min, making it incorrect for this fetal condition.
Choice C reason: Maternal hypoglycemia may cause fetal distress, but it is more likely to result in tachycardia or variable decelerations, not sustained bradycardia. Its impact on FHR is less direct, making it an incorrect primary cause for this finding.
Choice D reason: Fetal anemia reduces oxygen-carrying capacity, leading to sustained bradycardia (FHR <110/min) due to hypoxia. This condition, often from hemolytic disease or bleeding, directly causes low FHR, requiring urgent evaluation, making it the correct cause.

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A nurse is caring for a client who has an allergy to penicillin. The health care provider has prescribed amoxicillin. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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