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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is D

Explanation

Ciproﬂoxacin is a ﬂuoroquinolone antibiotic that can cause tendon problems 1. The nurse should instruct the client to report any tendon discomfort while taking this medication.

A. Gallbladder studies. B. Liver function tests. C. Blood glucose levels. D. Kidney function studies.

Correct Answer is B

Explanation

Rifampin and pyrazinamide can cause liver toxicity, so liver function tests should be monitored regularly while on this medication regimen to ensure that the liver is functioning properly and to detect any potential liver damage early.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciproﬂoxacin. Which of the following instructions should the nurse give to the client?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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