A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?
Request a different medication from the provider.
Premedicate the client with diphenhydramine.
Administer the medication to the client.
Request a different route of administration from the provider.
The Correct Answer is C
A. Request a different medication from the provider: Erythromycin is an alternative to penicillin for patients with penicillin allergies and can be administered safely.
B. Premedicate the client with diphenhydramine: This is not necessary unless the client has a history of allergic reactions to erythromycin or other antibiotics.
C. Administer the medication to the client: Erythromycin is a macrolide antibiotic and is safe for clients who are allergic to penicillin.
D. Request a different route of administration from the provider: The route of administration (oral) is appropriate unless there is a specific concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Take the medication on an empty stomach.": Rifampin is most effective when taken on an empty stomach to ensure better absorption.
B. "Discontinue the medication if your saliva turns orange.": This is a common side effect of rifampin, and the medication should not be discontinued due to this harmless effect.
C. "Return for another TB skin test in 3 months.": Follow-up skin tests are not necessary if the client is already undergoing treatment. The focus should be on medication adherence.
D. "You will need to take this medication for 1 week.": Rifampin is typically taken for several months (usually 6-9 months) to fully treat TB, not just for one week.
Correct Answer is B
Explanation
A. WBC: White blood cell count is unrelated to warfarin therapy.
B. INR: Warfarin’s anticoagulant effect is monitored using the International Normalized Ratio (INR). A therapeutic INR range is typically 2–3 for most indications.
C. Platelets: While platelets are important for overall clotting, INR is the specific measure for warfarin.
D. APTT: Activated partial thromboplastin time (APTT) is used to monitor heparin, not warfarin.
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