A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which of the following actions should the nurse take?
Store the medication at room temperature
Avoid shaking the medication before administration
Check the client for a penicillin allergy
Monitor the client for constipation
The Correct Answer is C
A. Cephalexin oral suspension should typically be stored in the refrigerator to maintain its stability and effectiveness. Storing it at room temperature could affect its potency.
B. Shaking the oral suspension is necessary to ensure the medication is evenly distributed before each dose, providing the client with the correct dosage of active ingredients. Failure to shake the suspension can result in uneven dosing.
C. Cephalexin is a cephalosporin antibiotic, and there is a potential for cross-sensitivity in clients who are allergic to penicillin. Up to 10% of people with a penicillin allergy may also be allergic to cephalosporins. Checking for a penicillin allergy helps prevent an adverse reaction, making it a critical safety measure before administering cephalexin.
D. While some antibiotics can cause gastrointestinal side effects, constipation is not a common adverse effect associated with cephalexin. The nurse should instead monitor for other side effects like diarrhea, which is more typical with antibiotics and can indicate a mild side effect or a more severe condition, such as Clostridioides difficile infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
An allergic reaction can occur in response to medication, and oxacillin is known to have the potential for causing allergic reactions. Symptoms of an allergic reaction may include rash, hives, itching, swelling, difficulty breathing, and anaphylaxis. Fever, amber urine, and diarrhoea are not typically associated with an allergic reaction to oxacillin.
Therefore, the nurse should monitor the client for any signs of an allergic reaction, particularly pruritus or itching, and report them to the healthcare provider promptly.
Correct Answer is B
Explanation
Rifampin can cause body fluids such as urine, sweat, saliva, and tears to turn a reddish-orange color. This is a harmless side effect and is not a cause for concern. The nurse should instruct the client to expect this change in color while taking the medication.
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