A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should Identify that prophylactic antibiotic therapy is not recommended for which of the following clients?

A client who bn a fever of unknown origin

A client who has a prosthetic heart valve is having dental surgery

A client who had an emergency cesarean section

A client following total hip arthroplasty.

Answer and Explanation

The Correct Answer is A

Prophylactic antibiotics are antibiotics given to prevent an infection from occurring. They are often used in situations where there is a high risk of infection, such as during surgery or dental procedures. However, prophylactic antibiotics are not recommended for all clients.

Option b is a situation where prophylactic antibiotics are recommended. Clients with prosthetic heart valves are at an increased risk of developing infective endocarditis (infection of the heart lining) during dental procedures due to the risk of bacteria entering the bloodstream.

Option c is another situation where prophylactic antibiotics may be used. Clients who have had an emergency cesarean section are at an increased risk of developing post-operative infections, and prophylactic antibiotics may be given to prevent this.

Option d is also a situation where prophylactic antibiotics may be used. Total hip arthroplasty is a surgical procedure that involves replacing the hip joint with a prosthesis. Clients who undergo this procedure are at an increased risk of developing a surgical site infection, and prophylactic antibiotics may be given to prevent this.

Option a, on the other hand, does not warrant prophylactic antibiotics. A fever of unknown origin does not necessarily indicate an infection, and antibiotics should only be given when there is a confirmed bacterial infection. Inappropriate use of antibiotics can lead to antibiotic resistance and other adverse eﬀects.

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Correct Answer is A

Explanation

Inﬂuenza vaccine production involves growing the virus in eggs. Therefore, the vaccine may contain trace amounts of egg proteins. Some individuals may be allergic to egg proteins and may experience an allergic reaction after receiving the vaccine. For this reason, healthcare providers should always ask their patients about egg allergies before administering the inﬂuenza vaccine.

Yeast, gelatin, and shellfish are not typically present in the seasonal inactive inﬂuenza vaccine, so allergy to these substances is not a concern when administering the vaccine. However, if a person has a known allergy to any of the ingredients in the vaccine, they should inform their healthcare provider before receiving it.

A. Subcutaneous (SQ). B. Intradermal. C. Intramuscular (IM). D. Intravenous (IV).

Correct Answer is D

Explanation

The intravenous route provides the most rapid onset of medication action because the medication is delivered directly into the bloodstream. However, this route also poses the greatest risk of adverse eﬀects if the medication is administered incorrectly or too rapidly because there is no opportunity for the body to metabolize or excrete the medication before it reaches its target organs.

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A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should Identify that prophylactic antibiotic therapy is not recommended for which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse In a community health clinic is administering seasonal inactive inﬂuenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following:

Correct Answer is A

Explanation

Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse eﬀect if administered incorrectly?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

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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?

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?

A nurse is administering oral medication to an older adult client. The client states, "The pill I always take is green. I don't take an orange pill." Which of the following responses should the nurse make?

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?

A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infection. The nurse should include in the teaching that vancomycin is Indicated for which of the following infections?

A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply.)