A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin.
For which of the following findings should the nurse instruct the adolescent to monitor and report to the provider?
Constipation
Elevated skin patches
Ringing in the ears
Depression
The Correct Answer is C
c. Ringing in the ears.
Explanation:
Cefazolin is an antibiotic medication that belongs to the class of cephalosporins. While it is generally well-tolerated, there can be potential side effects or adverse reactions that the adolescent should monitor and report to the healthcare provider. One of the more significant adverse effects associated with cephalosporins, including cefazolin, is ototoxicity, which can manifest as ringing in the ears (tinnitus). It is important for the adolescent to be aware of this potential side effect and promptly report it to the healthcare provider.
Options a, b, and d are not specifically associated with cefazolin and would not be the priority findings to monitor and report. Constipation is a less common side effect of cefazolin, and if it occurs, it can usually be managed with supportive measures or adjustments in diet and hydration. Elevated skin patches are not typically associated with cefazolin use. Depression is not a common side effect of cefazolin and would require further assessment and evaluation, but it is not directly related to the medication itself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should report the possible abuse to adult protective services if an older adult client states that their child took all their money. This is an important nursing intervention to ensure the safety and well-being of the client.
a) Instructing the client to report the theft to the police may be appropriate, but it is not the first action the nurse should take. The nurse has a legal and ethical obligation to report suspected abuse to the appropriate authorities.
c) Asking the client if there is another family member they can call for financial help may be appropriate, but it does not address the issue of possible abuse.
d) Restricting visitation for the client's family until discharge is not appropriate and may violate the client's rights.
Correct Answer is A
Explanation
Answer: A. Frequently remind the client of the expectations for her behavior.
Rationale:
A) Frequently remind the client of the expectations for her behavior:
Clients experiencing mania may have difficulty maintaining appropriate behavior due to their heightened energy levels and impulsivity. Frequently reminding them of behavioral expectations helps provide structure and boundaries, which can promote a safer and more controlled environment.
B) Encourage the client to participate in a group activity in the dayroom:
While social interaction can be beneficial, clients in a manic state might be overly stimulated by group activities. This can exacerbate their symptoms, leading to increased agitation or disruptive behavior. It's often more appropriate to provide a calm and low-stimulation environment.
C) Allow the client to pick her own choice of clothing:
Allowing a manic client to choose their own clothing can lead to choices that are inappropriate for the setting or the weather, as judgment may be impaired during mania. Providing guidance in clothing choices can help ensure the client is dressed suitably and safely.
D) Encourage the client to increase physical activity during the day:
While physical activity is generally beneficial, clients in a manic state may already be overly active and may not need encouragement to increase their activity. Overexertion can lead to exhaustion and further exacerbate manic symptoms. It is often more beneficial to encourage activities that promote relaxation and calmness.
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