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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I should watch for weight loss.": Prednisone is more commonly associated with weight gain, not weight loss.
B. "I should increase the sodium in my diet.": Prednisone can cause sodium retention, and the client should monitor their sodium intake, not increase it.
C. "I will take this medication on an empty stomach.": Prednisone should be taken with food to reduce the risk of gastrointestinal irritation.
D. "I will report a sore throat to my provider.": Prednisone can suppress the immune system, making the client more susceptible to infections, such as throat infections, which should be reported.
Correct Answer is D
Explanation
A. Calculate the correct amount of the medication: This is an important step but should be done after confirming the client's identity to ensure medication safety.
B. Validate the prescription with the available medication: Validating the prescription is essential, but client identification should be the priority before administering the medication.
C. Document the time of the medication administration: Documentation is done after the medication is administered, and client identification must come first.
D. Identify the client using two means of identification: This is the most critical first step to ensure the correct patient is receiving the correct medication.
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