A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin.
The nurse should identify that which of the following medications is contraindicated for this client?

Vancomycin.

Clarithromycin.

Metronidazole.

Ceftriaxone.

Answer and Explanation

The Correct Answer is D

Ceftriaxone is contraindicated for this client because it is a cephalosporin antibiotic, which has a similar structure to penicillin and can cause cross-reactivity in individuals with a penicillin allergy.

Choice A is wrong because Vancomycin is not a beta-lactam antibiotic and does not have cross-reactivity with penicillin.

Choice B is wrong because Clarithromycin is a macrolide antibiotic and does not have cross-reactivity with penicillin.

Choice C is wrong because Metronidazole is a nitroimidazole antibiotic and does not have cross-reactivity with penicillin.

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Correct Answer is A

Explanation

The nurse should withhold the dose of propranolol and notify the provider.

Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.

In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.

Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.

Choice C is wrong because there is no known interaction between albuterol and pantoprazole.

Choice D is wrong because there is no known interaction between albuterol and montelukast.

A. Occipital headache. B. Fever. C. Excessive salivation. D. Myoclonic seizure.

Correct Answer is C

Explanation

Neostigmine is an anticholinesterase inhibitor that indirectly stimulates both nicotinic and muscarinic receptors by interfering with the breakdown of acetylcholine.

Stimulation of muscarinic receptors can lead to increased salivation.

Choice A is wrong because an occipital headache is not a manifestation of a muscarinic response to neostigmine.

Choice B is wrong because fever is not a manifestation of a muscarinic response to neostigmine.

Choice D is wrong because a myoclonic seizure is not a manifestation of a muscarinic response to neostigmine.

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A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Correct Answer is A

Explanation

A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a muscarinic response. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

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A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

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A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin.
The nurse should identify that which of the following medications is contraindicated for this client?