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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["2.3"]

Explanation

Convert client’s weight from ponds to kgs:

1 lb -> 0.453592 kg
152 lb -> ?
Cross multiplying:
152 * 0.453592 = 68.945984 kg

Calculate the total dose in mg:

5 mg -> 1 kg
? -> 68.945984 kg
Cross multiplying:
68.945984 * 5 = 344.72992 mg

Determine the volume of enoxaparin to administer:

120 mg -> 0.8 mL
344.72992 mg -> ?
Cross multiplying:
(344.72992 * 0.8) / 120 = 2.298199466666667 mL
= 2.3 mL

A. "I will ask your provider to increase the dose of the medication." B. "You will need to take this medication on an empty stomach for it to be more effective." C. “you will need to wait a couple of weeks to feel the therapeutic effect of the medication." D. "I will inform your provider so they can prescribe a different medication."

Correct Answer is C

Explanation

A. Increasing the dose too soon is inappropriate; therapeutic effects take time to manifest.
B. Amitriptyline can be taken with or without food; stomach contents do not affect its efficacy.
C. Most antidepressants, including amitriptyline, require 2-4 weeks for therapeutic effects. The client needs reassurance and education.
D. Switching medications prematurely is unnecessary unless severe side effects occur.

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Prescribed Medication	Nursing Instruction
Albuterol	Take your albuterol when you are having difficulty breathing. Hold your breath for 20 seconds when taking your albuterol.
Salmeterol	Take the salmeterol 5 minutes before the albuterol when you need both medications. Take the salmeterol 2 times each day.
Fluticasone	Rinse out your mouth after taking the fluticasone. Take the fluticasone as needed for an asthma attack.

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2.3"]

Explanation

A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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