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 B

Explanation

An HbA1c value of 6.8% indicates that the client is adhering to the treatment plan [B].

HbA1c is a measure of long-term blood glucose control and is used to monitor the effectiveness of diabetes treatment.

An HbA1c value of less than 7% is generally considered a good target for people with diabetes.

Choice A is wrong because positive urinary ketones can indicate poor diabetes control [A].

Choice C is wrong because a total cholesterol level of 225 mg/dL is considered high and does not indicate adherence to the treatment plan [C].

Choice D is wrong because a creatinine level of.0 mg/dL is within the normal range but does not specifically indicate adherence to glipizide therapy [D].

A. Hypothyroidism. B. History of alcohol use disorder. C. Recurrent headaches. D. BP 92/60 mm Hg.

Correct Answer is B

Explanation

Acetaminophen is metabolized by the liver and can cause liver damage when taken in large doses or for a prolonged period of time.

Someone with an alcohol use disorder may already have a compromised liver, and combining acetaminophen with more alcohol can worsen the risk of irreparable damage.

Choice A is wrong because Hypothyroidism, is not a contraindication for acetaminophen use.

Choice C is wrong because Recurrent headaches, is not a contraindication for acetaminophen use.

Choice D is wrong because BP 92/60 mm Hg, is not a contraindication for acetaminophen use.

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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

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Correct Answer is B

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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?