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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Gentamicin can harm your kidneys.
An elevated creatinine level can be a sign of kidney damage.
The nurse should report this finding to the provider immediately.
Choice A is wrong because Fasting blood glucose 130 mg/dL, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Choice B is wrong because WBC 11,000/mm3, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Choice C is wrong because Potassium 4.5 mEq/L, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Correct Answer is D
Explanation
The nurse should instruct the client to monitor and report bruising as an adverse effect of taking clopidogrel.
Clopidogrel increases the risk of bleeding, which can be severe or life- threatening.
Choice A is wrong because blurred vision is not a common adverse effect of clopidogrel.
Choice B is wrong because constipation is not a common adverse effect of clopidogrel.
Choice C is wrong because weight loss is not a common adverse effect of clopidogrel.
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